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NPI Code Detail

MEDICARE: SUZZETTE RENEE SPENCER RRA, RT(R)(CT)(ARRT)

MEDICARE: SUZZETTE RENEE SPENCER RRA, RT(R)(CT)(ARRT)
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
12471C3401XComputed Tomography Radiologic Technologist481887TX
2243U00000XRadiology Practitioner Assistant481887TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1481887OTHERTXARRT
2MRA02000020OTHERTXTMB

General Provider Information

NPI Number : 1043856966
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZZETTE RENEE SPENCER RRA, RT(R)(CT)(ARRT)
Provider Business Mailing Address
First Line : 1820 PRESTON PARK BLVD STE 2400
Second Line :
City : PLANO
State : TX
Zip : 75093-3716
Country : US
Telephone Number : 972-942-8899
Fax Number : 972-540-4422
Provider Business Practice Location Address
First Line : 1820 PRESTON PARK BLVD STE 2400
Second Line :
City : PLANO
State : TX
Zip : 75093-3716
Country : US
Telephone Number : 972-867-7862
Fax Number : 972-612-1623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2019
Last Update Date : 12/09/2025

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Directions to “ SUZZETTE RENEE SPENCER RRA, RT(R)(CT)(ARRT)” Practice Location

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