Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Blaire Spencer, PA-C

Individual provider Physician Assistant · NPI 1912414624

Marissa Blaire Spencer, PA-C is a Physician Assistant in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5470 W Lovers Ln Ste 330
Dallas, TX 75209-4392
Phone: (214) 956-7520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA11743 (TX)

Record details

NPI number1912414624
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 3, 2018
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021

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