Tri-Coastal Ancillaries LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L4728 Issued in TX

Legal business name

TRI-COASTAL ANCILLARIES LLC

Practice address

646 FM 517 Rd W
Dickinson, TX 77539-3904

Phone

(832) 919-8221

Fax

(281) 605-6705

NPI assigned

Apr 26, 2016

Last updated

Aug 9, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary W Spangler Jr., M.D.

Title

Member

Phone

(832) 919-8221

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1609221753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4481",
            "address_2": "MSC# 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104481",
            "telephone_number": "832-919-8221",
            "fax_number": "281-605-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 FM 517 RD W",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393904",
            "telephone_number": "832-919-8221",
            "fax_number": "281-605-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COASTAL ANCILLARIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "SPANGLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "832-919-8221",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenna Rae Tolley, RN FNP-C
• Angelique S Torres, AU.D
• Susan Touchstone
• Nicole Kay Towns, OTR/L
• Janet Kelley Trahan, RD LD
• TTGD Center, LLC
• Teresa Erminger Turner, LSA
• University of Texas Medical Branch
• Utmb Regional Maternal and Child Health Program (UTMB RMCHP -Dickinson)
• Utmb Regional Maternal and Child Health Program

• Internal Medicine Physician in Dickinson, TX
• Providers in Dickinson, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.