Provider Demographics
NPI:1245667435
Name:SPILLER, ASHLEY MATTHEWS (MICRO PIGMENTATION)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MATTHEWS
Last Name:SPILLER
Suffix:
Gender:F
Credentials:MICRO PIGMENTATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2643 WINROCK BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4305
Mailing Address - Country:US
Mailing Address - Phone:713-510-3014
Mailing Address - Fax:713-534-1859
Practice Address - Street 1:2643 WINROCK BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4305
Practice Address - Country:US
Practice Address - Phone:713-510-3014
Practice Address - Fax:713-534-1859
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00000002086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery