Provider Demographics
NPI:1588492730
Name:SPEARS, KASE
Entity type:Individual
Prefix:
First Name:KASE
Middle Name:
Last Name:SPEARS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 HIGHLANDS AVE
Mailing Address - Street 2:
Mailing Address - City:ALEDO
Mailing Address - State:TX
Mailing Address - Zip Code:76008-1525
Mailing Address - Country:US
Mailing Address - Phone:254-931-5152
Mailing Address - Fax:
Practice Address - Street 1:14614 FALLING CREEK DR STE 208
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-2941
Practice Address - Country:US
Practice Address - Phone:832-705-8911
Practice Address - Fax:832-705-8925
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No374U00000XNursing Service Related ProvidersHome Health Aide