Provider Demographics
NPI:1033313556
Name:SPICER, ROBERT JAMES (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:JAMES
Last Name:SPICER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 222093
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75222-2093
Mailing Address - Country:US
Mailing Address - Phone:972-291-9165
Mailing Address - Fax:469-575-9975
Practice Address - Street 1:716 N HIGHWAY 67 STE 2
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2117
Practice Address - Country:US
Practice Address - Phone:972-291-9165
Practice Address - Fax:469-575-9975
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN60382081N0008X, 2081S0010X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular Medicine
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8X9705OtherBCBS OF TEXAS
TXTXB120935Medicare PIN
TX8X9705OtherBCBS OF TEXAS
TX8X9705OtherBCBS OF TEXAS