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Organization
TRI-COASTAL ANCILLARIES LLC
Active
Organization
TRI-COASTAL ANCILLARIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY W SPANGLER JR. M.D. (MEMBER)
(832) 919-8221
Entity
Organization
Contact information
Practice address
646 FM 517 RD W, DICKINSON, TX 77539-3904
(832) 919-8221
(281) 605-6705
Mailing address
PO BOX 4481, MSC# 400, HOUSTON, TX 77210-4481
(832) 919-8221
(281) 605-6705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L4728
TX
Other
Enumeration date
04/26/2016
Last updated
08/09/2016
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