| Spangler Medical Enterprises Pa | |
|
646 Fm 517 Rd W Dickinson TX 77539-3904 | |
| (281) 218-7200 | |
| (281) 218-7203 |
| Full Name | Spangler Medical Enterprises Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 646 Fm 517 Rd W, Dickinson, Texas |
| Authorized Official Name and Position | Gary W Spangler (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2812187200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spangler Medical Enterprises Pa 646 Fm 517 Rd W Dickinson TX 77539-3904 Ph: (281) 218-7200 | Spangler Medical Enterprises Pa 646 Fm 517 Rd W Dickinson TX 77539-3904 Ph: (281) 218-7200 |
| NPI Number | 1912134768 |
|---|---|
| Provider Enumeration Date | 06/19/2009 |
| Last Update Date | 03/24/2015 |
| Medicare PECOS PAC ID | 0244370203 |
|---|---|
| Medicare Enrollment ID | O20100324000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912134768 | NPI | - | NPPES |
| 158438001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L4728 (Texas) | Primary |
| Provider Name | Gary Wayne Spangler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952395048 PECOS PAC ID: 3577466937 Enrollment ID: I20040202000089 |
| Provider Name | Lorenzo Bortolotti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215976238 PECOS PAC ID: 9133226137 Enrollment ID: I20100518000780 |
| Provider Name | Arthur G Encarnacion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295947554 PECOS PAC ID: 3678750627 Enrollment ID: I20110531000687 |
| Provider Name | Mandie Ann Toland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649554841 PECOS PAC ID: 2668647363 Enrollment ID: I20111207000870 |
| Provider Name | Meghna Sheth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942630603 PECOS PAC ID: 0446483101 Enrollment ID: I20140502001235 |
| Provider Name | Sarah Fedak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962879460 PECOS PAC ID: 8426351594 Enrollment ID: I20160122001892 |
| Provider Name | Julia Du |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831550862 PECOS PAC ID: 7214219401 Enrollment ID: I20170124000609 |
Bay Colony Mri & Diagnsotic Center, Lp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 Fm 646 Rd W, Dickinson, TX 77539 Phone: 281-487-6736 Fax: 281-487-3187 | |
Precision Mind And Body Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1535 Fm 646 Rd W, Dickinson, TX 77539 Phone: 281-201-4150 | |
Premise Health Of Texas Medical, P.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1455 Fm 646 Rd W Ste 100, Dickinson, TX 77539 Phone: 281-316-8757 | |
Merritt Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Fm 517 Rd W, Dickinson, TX 77539 Phone: 281-337-3337 | |
Dickinson Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1455 Fm 646 Rd W Ste 100, Dickinson, TX 77539 Phone: 346-689-5870 | |
Dickinson Medical Clinic Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Fm 517 Road E, Dickinson, TX 77539 Phone: 281-534-2525 Fax: 281-337-2721 | |
All Care Team Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1455 Fm 646 Rd W Ste 202, Dickinson, TX 77539 Phone: 832-738-1710 |