Provider Demographics
NPI:1518071893
Name:SPIELBAUER, MARK A (CPED)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:A
Last Name:SPIELBAUER
Suffix:
Gender:M
Credentials:CPED
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Mailing Address - Street 1:131 N GOLIAD ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-5309
Mailing Address - Country:US
Mailing Address - Phone:806-356-7640
Mailing Address - Fax:806-356-7586
Practice Address - Street 1:419 S WESTERN ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-8555
Practice Address - Country:US
Practice Address - Phone:806-359-3338
Practice Address - Fax:806-356-7586
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment