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Physician Compare National (NPI:1952442022)

HEALTHCARE PROVIDER: CHANTAL H.J. SPURDON M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1952442022
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2365605490
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120531000413
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SPURDON
Individual professional last name
Provider First Name CHANTAL
Individual professional first name
Provider Middle Name HJ
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Individual professional's medical school
Graduation Year 1986
Individual professional's medical school graduation year
Primary Specialty OBSTETRICS/GYNECOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name MEDICAL CLINIC OF NORTH TEXAS, PLLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 9830084540
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 191
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 1615 HOSPITAL PKWY
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 100
Group Practice or individual's line 2 address
City BEDFORD
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 760225935
Group Practice or individual's zip code (9 digits when available)
Phone Number 8175145200
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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