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NPI Code Detail

MEDICARE: KNOTT SPEARS GROUP, INC

MEDICARE: KNOTT SPEARS GROUP, INC
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
1261QR0200XRadiology Clinic/Center

General Provider Information

NPI Number : 1922048388
Entity Type Code : Organization
Provider Name (Legal Business Name) : KNOTT SPEARS GROUP, INC
Provider Business Mailing Address
First Line : 1119 W RANDOL MILL RD
Second Line : # 104
City : ARLINGTON
State : TX
Zip : 76012-6509
Country : US
Telephone Number : 817-261-6666
Fax Number : 817-261-6665
Provider Business Practice Location Address
First Line : 1119 W RANDOL MILL RD
Second Line : # 104
City : ARLINGTON
State : TX
Zip : 76012-6509
Country : US
Telephone Number : 817-261-6666
Fax Number : 817-261-6665
Authorized Official
Title or Position : PRESIDENT
Name : MS. KELLY SPEARS
Credential :
Telephone Number : 817-261-6666
Provider Enumeration Date : 06/07/2006
Last Update Date : 07/20/2010

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Directions to “KNOTT SPEARS GROUP, INC ” Practice Location

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