Basic Information
| Provider Information | |||||||||
| NPI: | 1780208843 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SPINKS | ||||||||
| FirstName: | BRIANNA | ||||||||
| MiddleName: | FAITH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5117 MATADOR TRL | ||||||||
| Address2: | |||||||||
| City: | AMARILLO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 791096109 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8062069692 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1020 TASCOSA RD | ||||||||
| Address2: | |||||||||
| City: | AMARILLO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 791241504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8063228387 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2020 | ||||||||
| LastUpdateDate: | 06/04/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 116618 | TX | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.