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General NPI Number Information
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NPI Number | 1538347240
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Entity Type | Organization
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Legal Business Name | SPANGLER MEDICAL ENTERPRISES, PA
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 17000 EL CAMINO REAL STE 201B
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City | HOUSTON
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State | TX
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Zip | 77058-2636
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Country | US
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Telephone | 281-218-7200
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Fax | 281-218-7203
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Provider Business Mailing Address
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Address Line | PO BOX 572
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City | LEAGUE CITY
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State | TX
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Zip | 77574-0572
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Country | US
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Telephone | 281-218-7200
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Fax | 281-218-7203
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. GARY W SPANGLER JR.
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Credential | M.D.
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Telephone | 281-218-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L4728
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License Number State | TX
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