Provider Demographics
NPI:1811550684
Name:SPEARS, DARRYL (NEMT)
Entity Type:Individual
Prefix:
First Name:DARRYL
Middle Name:
Last Name:SPEARS
Suffix:
Gender:M
Credentials:NEMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4134 NATHANS PARK PLACE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77053
Mailing Address - Country:US
Mailing Address - Phone:832-707-8886
Mailing Address - Fax:
Practice Address - Street 1:4134 NATHANS PARK PLACE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77053-1631
Practice Address - Country:US
Practice Address - Phone:832-707-8886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver