Provider Demographics
NPI:1639596554
Name:SPINNER, EMILY LEVY (MS, PA-C)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:LEVY
Last Name:SPINNER
Suffix:
Gender:F
Credentials:MS, PA-C
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:LEVY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, PA-C
Mailing Address - Street 1:6565 WEST LOOP S
Mailing Address - Street 2:SUITE 800
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3500
Mailing Address - Country:US
Mailing Address - Phone:713-661-4383
Mailing Address - Fax:713-661-4346
Practice Address - Street 1:6565 WEST LOOP S
Practice Address - Street 2:SUITE 800
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3500
Practice Address - Country:US
Practice Address - Phone:713-661-4383
Practice Address - Fax:713-661-4346
Is Sole Proprietor?:No
Enumeration Date:2014-03-28
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA07815363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant