Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | R3595 | TX |
NPI | 1356329205 |
---|---|
Provider Name | Dr. Elizabeth Golladay Spooner |
First Address | Corpus Christi, TX 78412-4946 |
Second Address | Corpus Christi, TX 78412-4946 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2006 |
Last Update Date | 12/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
388371204 | (05) | TX |