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NPI Code Detail

MEDICARE: SPENCER WESTCOTT

MEDICARE: SPENCER WESTCOTT
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1801750203
Entity Type Code : Individual
Provider Name (Legal Business Name) : SPENCER WESTCOTT
Provider Business Mailing Address
First Line : 4900 MUELLER BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78723-3051
Country : US
Telephone Number : 732-682-2495
Fax Number :
Provider Business Practice Location Address
First Line : 4900 MUELLER BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78723-3051
Country : US
Telephone Number : 732-682-2495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ SPENCER WESTCOTT ” Practice Location

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