Healthcare Provider Details

I. General information

NPI: 1851608319
Provider Name (Legal Business Name): DAVID W SPINKS DO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2010
Last Update Date: 01/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 FAIRVIEW ST
PASADENA TX
77504-1904
US

IV. Provider business mailing address

3350 FAIRVIEW ST
PASADENA TX
77504-1904
US

V. Phone/Fax

Practice location:
  • Phone: 713-944-0189
  • Fax: 713-944-6116
Mailing address:
  • Phone: 713-944-0189
  • Fax: 713-944-6116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberF4557
License Number StateTX

VIII. Authorized Official

Name: DR. DAVID W SPINKS
Title or Position: DOCTOR/OWNER
Credential: D.O.
Phone: 713-944-0189