MEDICARE: TWYLER SPIRES

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	172A00000X	Driver	49911841	TX
2	172V00000X	Community Health Worker		TX

General Provider Information

NPI Number	:	1356214894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TWYLER SPIRES

Provider Business Mailing Address
First Line	:	3414 SPRINGBURY LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-0732
Country	:	US
Telephone Number	:	443-791-9811
Fax Number	:

Provider Business Practice Location Address
First Line	:	3414 SPRINGBURY LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-0732
Country	:	US
Telephone Number	:	443-791-9811
Fax Number	:

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

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	01/13/2026

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Directions to “ TWYLER SPIRES ” Practice Location

Language	Start Address	Practice Location

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