Individual
SALLY SPANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11803 SOUTH FWY, SUITE 110, BURLESON, TX 76028-7012
(817) 551-7332
Mailing address
11803 SOUTH FREEWAY, BURLESON, TX 76028
(817) 551-7553
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
11/13/2013
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