MEDICARE: THOMAS L SPAIN JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LA0401X	Addiction Medicine (Anesthesiology) Physician	L2672	TX
2	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	L2672	TX
3	207L00000X	Anesthesiology Physician	L2672	TX
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	L2672	TX
5	207QA0401X	Addiction Medicine (Family Medicine) Physician	L2672	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053355321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS L SPAIN JR. MD

Provider Business Mailing Address
First Line	:	1935 MEDICAL DISTRICT DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-7701
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1935 MEDICAL DISTRICT DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-7701
Country	:	US
Telephone Number	:	214-456-8131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	01/22/2026

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Directions to “ THOMAS L SPAIN JR. MD” Practice Location

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