Allan Barwise Spence, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

F5757 Issued in TX

Practice address

336 S 8TH St
Raymondville, TX 78580-2526

Phone

(956) 689-2456

Fax

(956) 689-5157

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 17, 2012.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1174580930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 S 8TH ST",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785802526",
            "telephone_number": "956-689-2456",
            "fax_number": "956-689-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S 8TH ST",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785802526",
            "telephone_number": "956-689-2456",
            "fax_number": "956-689-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "ALLAN",
        "middle_name": "BARWISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "F5757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092568701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert L Smith, M.D., P.A.
• Pedro Soria, LVN
• Stephanie Renee Soria, RN
• Shawn Kevin Spanihel, P.T.
• Spence Family Primary Care Clinic
• SRT Medical PLLC
• Starr County Hospital District
• Stephen Robinson MD PA
• Michelle Jermie Stephen Salazar, REGISTERED DIETITIAN
• Su Clinica Familiar

• All providers in Raymondville, TX
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.