Bethany Ann Spenn | Tomball, TX • PECOS Search

Bethany Ann Spenn

Family Medicine

Allopathic & Osteopathic Physicians

720 Lawrence St, Tomball, TX 77375-0047

PECOS Enrollment

Based on the most recent information from CMS, provider Bethany Ann Spenn does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:56 PM.

Profile Details

Provider ID
1033685201
Provider Type
Individual
Full Name
Spenn, Bethany Ann
Title
Mrs.
Credential
MS, PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/15/2018
Last Updated
10/15/2018

Contact Information

Practice Location

720 Lawrence St, Tomball, TX 77375-0047

Unlisted Fax

Mailing Location

14107 Bloomingdale Manor Dr, Cypress, TX 77429-8180

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License PA03605 Texas