Jerry L Spinks, MD, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

E1137 Issued in TX

Legal business name

JERRY L SPINKS, MD, PA

Practice address

410 Gaslight Blvd
Lufkin, TX 75904-3123

Phone

(936) 639-2338

Fax

(936) 639-2980

NPI assigned

Apr 6, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerry Lee Spinks, MD

Title

President

Phone

(936) 639-2338

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1013232776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043123",
            "telephone_number": "936-639-2338",
            "fax_number": "936-639-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043123",
            "telephone_number": "936-639-2338",
            "fax_number": "936-639-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY L SPINKS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "SPINKS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-639-2338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "E1137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031869301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Daniel Carter,M.D.P.a.
• Arely Jasso, LPC
• Jerry H Jenkins, M.D.
• Jerry H. Jenkins, M.D., P.a.
• Jerry L Johnson MD PA
• Robert Timothy Jewell, LPC, LCDC
• Vanessa Jacqueline Jimenez, ATC, LAT, CES
• Dae Hyun Jin, RPH
• Corley Jobe, CCC, SLP
• Sydney Kayla Jobe, LCSW

• Primary Care Clinic/Center in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.