Provider Demographics
NPI:1518176064
Name:SPEARS, TIMOTHY PAUL (DC PA)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:PAUL
Last Name:SPEARS
Suffix:
Gender:M
Credentials:DC PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1119 W RANDOL MILL RD
Mailing Address - Street 2:#103 TIMOTHY P SPEARS DC PA
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012
Mailing Address - Country:US
Mailing Address - Phone:817-461-6656
Mailing Address - Fax:817-461-6301
Practice Address - Street 1:1119 W RANDOL MILL RD
Practice Address - Street 2:#103
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012
Practice Address - Country:US
Practice Address - Phone:817-461-6656
Practice Address - Fax:817-461-6301
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXDC8538TX111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor