Provider Demographics
NPI:1396310314
Name:SPAFFORD HEALTH AND WELLNESS, PLLC
Entity type:Organization
Organization Name:SPAFFORD HEALTH AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:D
Authorized Official - Last Name:SPAFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-865-7884
Mailing Address - Street 1:7109 FM 2920 RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-2215
Mailing Address - Country:US
Mailing Address - Phone:832-761-7290
Mailing Address - Fax:346-808-5632
Practice Address - Street 1:7109 FM 2920 RD STE 100
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-2215
Practice Address - Country:US
Practice Address - Phone:832-761-7290
Practice Address - Fax:346-808-5632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty