MEDICARE: MARK T SPEARS MS CCC A

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	231H00000X	Audiologist	50518	TX
2	237600000X	Audiologist-Hearing Aid Fitter	50518	TX

General Provider Information

NPI Number	:	1144489758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK T SPEARS MS CCC A

Provider Business Mailing Address
First Line	:	7150 N GEORGE BUSH HWY STE 200
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-2210
Country	:	US
Telephone Number	:	972-675-1606
Fax Number	:

Provider Business Practice Location Address
First Line	:	7150 N GEORGE BUSH
Second Line	:	SUITE 200
City	:	GARLAND
State	:	TX
Zip	:	75044-2210
Country	:	US
Telephone Number	:	972-675-1606
Fax Number	:

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

Provider Enumeration Date	:	06/09/2008
Last Update Date	:	06/23/2026

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Directions to “ MARK T SPEARS MS CCC A” Practice Location

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