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Dr. Cedric W. Spak

Infectious Disease

1025 College Ave
Fort Worth , Texas 76104-3013

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Dr. Cedric W. Spak

Infectious Disease

1025 College Ave
Fort Worth , Texas 76104-3013

(763) 257-8356

Write a Review Save Call

Dr. Cedric W. Spak

Infectious Disease

1025 College Ave
Fort Worth , Texas 76104-3013

(763) 257-8356 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Infectious Disease

Languages spoken

  • English

Location

1025 College Ave Fort Worth , Texas 76104-3013

First Address

  • Dr. Cedric W. Spak
  • 3300 Oakdale Ave N
  • Robbinsdale, MN
  • Zip : 55422-2926
  • Fax : (763) 257-8356
  • Phone : (763) 520-5200

Second Address

  • Dr. Cedric W. Spak
  • 1025 College Ave
  • Fort Worth, TX
  • Zip : 76104-3013
  • Fax : (817) 840-9815
  • Phone : (817) 810-9810

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FAQs


Where did Dr. Cedric W. Spak attend graduate school?

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Where did Dr. Cedric W. Spak do his residency?

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Where did Dr. Cedric W. Spak do his fellowship?

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Is Dr. Cedric W. Spak board certified?

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What type of doctor is Dr. Cedric W. Spak

Infectious Disease

In what state does Dr. Cedric W. Spak practice in?

Texas

Where is Dr. Cedric W. Spak ’s practice located?

1025 College Ave , Fort Worth, Texas, 76104-3013

What is Dr. Cedric W. Spak ’s gender?

Male

Is Dr. Cedric W. Spak a sole practitioner?

No

Is Dr. Cedric W. Spak accepting new patients?

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What languages does Dr. Cedric W. Spak speak?

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Does Dr. Cedric W. Spak accept insurance?

Yes, Dr. Cedric W. Spak accepts insurance

Does Dr. Cedric W. Spak offers telemedicine?

Dr. Cedric W. Spak has not indicated if he offers telemedicine

What is Dr. Cedric W. Spak ’s professional license number?

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What is Dr. Cedric W. Spak ’s NPI number?

1063575199

Does Dr. Cedric W. Spak have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207RI0200X Infectious Disease L1206 TX
N 207RI0200X Infectious Disease MD00043412 WA

National Provider Identifier

NPI 1063575199
Provider Name Dr. Cedric W. Spak
First Address Robbinsdale, MN 55422-2926
Second Address Fort Worth, TX 76104-3013
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 19/12/2006
Last Update Date 29/10/2018

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
145478703 (05) TX
8J4777 MEDICARE (01) TX
H42385 (02) TX

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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