MEDICARE: ANN ELIZABETH SPANGLER M.D.

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	2085R0001X	Radiation Oncology Physician	L3485	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

General Provider Information

NPI Number	:	1992767933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN ELIZABETH SPANGLER M.D.

Provider Business Mailing Address
First Line	:	5801 FOREST PARK ROAD, NF3.208
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-9183
Country	:	US
Telephone Number	:	214-645-8525
Fax Number	:

Provider Business Practice Location Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-7208
Country	:	US
Telephone Number	:	214-645-8525
Fax Number	:

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	02/22/2011

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