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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE FOREE SPEARS, PA-C, CCP

Active

SHANE FOREE SPEARS, PA-C, CCP is a Surgical Physician Assistant healthcare provider located in TYLER, Texas. NPI 1336119916 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · TYLER, TX

Registration Details

NPI Number
1336119916
Provider Type
Individual
Gender
Male
NPI Issued
Jan 25, 2006 (20.552929015904 yrs)
Last Updated
Mar 29, 2023
Licenses
PA10004751 (WA)
PA10004751 (WA)
PA15805 (TX)

Practice Information

Address
1000 S BECKHAM AVE
TYLER, TX, 757011908
Browse TX providers · Browse ZIP 75701
Phone
9035905611
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in TYLER, TX

Name Credential NPI
MR. PAUL BLAKE CHLAPEK PA 1770571093
MR. FORREST RICE PERSING PA 1851389175
MR. ROBERT DANIEL WALKER PA 1639167703
MICHAEL A SULLIVAN PA 1568418242
MARVIN DEAN PENNINGTON PA 1972534683
JONATHAN R REDWING PA-C 1649309410
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.