Individual
DR. DAVID MICHAEL DSPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1310 B PALUXY ROAD, SUITE 2000, GRANBURY, TX 76048
(817) 579-3700
(817) 579-3715
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M1066
TX
207RX0202X
Medical Oncology Physician
Primary
M1066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193472101
—
TX
05
—
193472102
—
TX
05
—
193472103
—
TX
01
—
P00620585
RAILROAD MEDICARE
TX
Enumeration date
06/10/2007
Last updated
02/09/2023
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