Provider Demographics
NPI:1629530647
Name:MATHEWS, SPENCER CHRISTOPHER (DPM)
Entity Type:Individual
Prefix:
First Name:SPENCER
Middle Name:CHRISTOPHER
Last Name:MATHEWS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 FM 1488 RD
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3983
Mailing Address - Country:US
Mailing Address - Phone:330-206-6570
Mailing Address - Fax:
Practice Address - Street 1:25511 BUDDE RD STE 3701
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-4173
Practice Address - Country:US
Practice Address - Phone:281-348-2166
Practice Address - Fax:281-358-2153
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3164213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist