BRIAN SPORE DO PA
NPI 1114218708
Point of Service in Lufkin, TX

Q: What is Brian Spore Do PA's NPI number?

The NPI number for Brian Spore Do PA is 1114218708. It was assigned to this organization in the NPPES registry on April 29, 2011.

Q: What is Brian Spore Do PA's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Spore Do PA was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 29, 2011

3804 S MEDFORD DR, LUFKIN, TX 75901(936) 634-2231(936) 634-8012 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brian Spore Do Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN SPORE DO PA (NPI 1114218708) is a healthcare organization registered as a point of service in Lufkin, Texas and active in the NPI registry since April 2011. The organization lists Brian Spore, Do, as its authorized official.

NPPES Registry Identity

NPI1114218708

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NameBRIAN SPORE DO PA

Location Address3804 S MEDFORD DRLufkin, TX 75901-5780

Mailing Address3804 S Medford DrLufkin, TX 75901-5780 · (936) 634-2231 · Fax (936) 634-8012

Phone(936) 634-2231

Fax(936) 634-8012

Organization SubpartNo

Authorized OfficialBrian SporeDo · (936) 634-2231

Enumeration DateApril 29, 2011

✔ NPI 1114218708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

License✔ Licensed in TX · K5703

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

3804 S MEDFORD DR, Lufkin, TX 75901

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Other Identifiers 3

Medicaid092514101TX

Medicare UPINH17195TX

Medicare PIN00590LTX

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT D. KISTLER MD

General Practice

3804 S MEDFORD DR
LUFKIN, TX 75901

Angelina County (936) 634-2231

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Spore Do PA's NPI number?

The NPI number for Brian Spore Do PA is 1114218708. It was assigned to this organization in the NPPES registry on April 29, 2011.

Where is Brian Spore Do PA located?

Brian Spore Do PA is located at 3804 S Medford Dr, Lufkin, TX 75901. The listed phone number is (936) 634-2231.

What is Brian Spore Do PA's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Brian Spore Do PA was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.