MEDICARE: NALI SPENCER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	M9672	TX
2	207R00000X	Internal Medicine Physician	35307	IA
3	208M00000X	Hospitalist Physician	M9672	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	18359	OTHER	IA	WELLMARK BCBS IA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518910223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NALI SPENCER M.D.

Provider Business Mailing Address
First Line	:	6363 SAN FELIPE ST APT 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-2730
Country	:	US
Telephone Number	:	713-972-8900
Fax Number	:	713-972-8925

Provider Business Practice Location Address
First Line	:	6363 SAN FELIPE ST APT 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-2730
Country	:	US
Telephone Number	:	713-972-8900
Fax Number	:	713-972-8925

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	11/15/2023

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Directions to “ NALI SPENCER M.D.” Practice Location

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