Individual
MICHAEL GREGORY SPANN
Active
Individual
MICHAEL GREGORY SPANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J0275
TX
207LP3000X
Pediatric Anesthesiology Physician
J0275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100067240A
—
OK
05
—
126526612
—
TX
01
—
8EH510
BCBS
TX
01
—
P014466772
RR
TX
Enumeration date
12/20/2006
Last updated
07/02/2018
Update your record
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