MEDICARE: BELINDA LEE SPENCER -

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	163WC0200X	Critical Care Medicine Registered Nurse	587349	TX
2	363LA2100X	Acute Care Nurse Practitioner		TX

General Provider Information

NPI Number	:	1184833592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA LEE SPENCER -

Provider Business Mailing Address
First Line	:	470 WHEATON RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78234-2607
Country	:	US
Telephone Number	:	210-221-6017
Fax Number	:	210-221-7850

Provider Business Practice Location Address
First Line	:	2050 WORTH RD
Second Line	:
City	:	FORT SAM HOUSTON
State	:	TX
Zip	:	78234-7533
Country	:	US
Telephone Number	:	210-221-6017
Fax Number	:	210-221-7850

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	09/11/2025

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