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NPI Code Detail

MEDICARE: DR. CALVIN E. SPINKS SR. ED.D

MEDICARE: DR. CALVIN E. SPINKS SR. ED.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
1101YP2500XProfessional Counselor2019037119MO
2101YP2500XProfessional Counselor85371TX

General Provider Information

NPI Number : 1760927693
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CALVIN E. SPINKS SR. ED.D
Provider Business Mailing Address
First Line : 48 E 26TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60616-2304
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3050 POST OAK BLVD STE 510
Second Line :
City : HOUSTON
State : TX
Zip : 77056-6512
Country : US
Telephone Number : 888-441-3959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2017
Last Update Date : 05/25/2023

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