MEDICARE: DR. JAMES THEODORE SPIGER D.M.D

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	122300000X	Dentist	24116	TX

General Provider Information

NPI Number	:	1720237274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES THEODORE SPIGER D.M.D

Provider Business Mailing Address
First Line	:	6336 TELEPHONE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-5410
Country	:	US
Telephone Number	:	713-644-3000
Fax Number	:	713-644-3004

Provider Business Practice Location Address
First Line	:	6336 TELEPHONE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-5410
Country	:	US
Telephone Number	:	713-644-3000
Fax Number	:	713-644-3004

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

Provider Enumeration Date	:	09/09/2008
Last Update Date	:	02/29/2012

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