Spencer Jackson Fields
Student in an Organized Health Care Education/Training Program in Houston, TX. Individual provider (NPI-1).
NPI number1962298968
StatusActive
Last updated in NPPESApr 30, 2025
Details
- NPI
- 1962298968
- Entity type
- Individual (NPI-1)
- Name
- Spencer Jackson Fields
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2025
- Certification date
- Apr 30, 2025
- Last updated
- Apr 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1 Baylor PlzHouston, TX 77030-3411
Phone 713-798-5588
Mailing address
1 Baylor PlzHouston, TX 77030-3411
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