Provider Demographics
NPI:1043446735
Name:SPEER, JOAN ELIZABETH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:ELIZABETH
Last Name:SPEER
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:205 E UNIVERSITY AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-6821
Mailing Address - Country:US
Mailing Address - Phone:512-868-1124
Mailing Address - Fax:512-868-9894
Practice Address - Street 1:501 S AUSTIN AVE
Practice Address - Street 2:STE 1320
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-5610
Practice Address - Country:US
Practice Address - Phone:512-635-1856
Practice Address - Fax:512-819-0646
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2011-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA01621363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant