Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 12176 | TX |
NPI | 1053664144 |
---|---|
Provider Name | Dr. Logan Curtis Spangler |
First Address | Plano, TX 75024-2189 |
Second Address | Plano, TX 75024-2189 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2012 |
Last Update Date | 14/03/2013 |