| South East Texas Post Acute Care Specialists Inc | |
|
1300 Bay Area Blvd Houston TX 77058-2505 | |
| (346) 230-7095 | |
| (281) 984-7585 |
| Full Name | South East Texas Post Acute Care Specialists Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1300 Bay Area Blvd, Houston, Texas |
| Authorized Official Name and Position | Gary Spangler Jr (PRESIDENT) |
| Authorized Official Contact | 8323854835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South East Texas Post Acute Care Specialists Inc 16516 El Camino Real # 252 Houston TX 77062-5723 Ph: (346) 230-7095 | South East Texas Post Acute Care Specialists Inc 1300 Bay Area Blvd Houston TX 77058-2505 Ph: (346) 230-7095 |
| NPI Number | 1164181442 |
|---|---|
| Provider Enumeration Date | 12/14/2021 |
| Last Update Date | 09/02/2022 |
| Medicare PECOS PAC ID | 2163809914 |
|---|---|
| Medicare Enrollment ID | O20220516002865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164181442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | (* (Not Available)) | Secondary |
| Provider Name | Gary Wayne Spangler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952395048 PECOS PAC ID: 3577466937 Enrollment ID: I20040202000089 |
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