Spann, Michael Gregory

Spann, Michael Gregory is an sole proprietor health care provider with primary practice located at 6606 Lbj Fwy Suite 200, Dallas TX 75240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Spann, Michael Gregory can be contacted via phone (972) 715-5000.

Contact Information

Primary practice address
6606 Lbj Fwy Suite 200 Dallas TX 75240
Fax: (972) 715-9976
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X J0275 Texas
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X J0275 Texas

Profile Details

NPI number 1487718144
LBN Legal business name Spann, Michael Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Jul 2nd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487718144 NPPES
Oklahoma MEDICAID 100067240A
Oklahoma Other P014466772
Oklahoma MEDICAID 126526612
Oklahoma Other 8EH510

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