TRI-COASTAL ANCILLARIES LLC (NPI# 1609221753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609221753 |
| Entity Type | Organization |
| Organization Name | TRI-COASTAL ANCILLARIES LLC |
| Practice Address |
646 Fm 517 Rd W Dickinson TX 77539-3904 |
| Mailing Address |
Po Box 4481 Msc# 400 Houston TX 77210-4481 |
| Practice Telephone | 8329198221 |
| Practice Fax Number | 2816056705 |
| Mailing Telephone | 8329198221 |
| Mailing Fax Number | 2816056705 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-08-09 |
| Authorized Official Name | GARY W SPANGLER JR. (MEMBER) |
| Authorized Official Telephone | 8329198221 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | L4728 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
646 FM 517 RD W |
| City | DICKINSON |
| State | TX |
| Zip Code | 77539-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952395048 | Gary W Spangler Jr. | Family Medicine | 646 Fm 517 Rd W, Dickinson, TX 77539-3904 | 2005-09-06 |
| 1235643164 | Beatrice Cheruiyot | Nurse Practitioner | 646 Fm 517 Rd W, Dickinson, TX 77539-3904 | 2017-11-30 |
| 1649554841 | Mandie Ann Toland | Nurse Practitioner | 646 Fm 517 Rd W, Dickinson, TX 77539-3904 | 2011-10-06 |
| 1912134768 | Spangler Medical Enterprises Pa | Family Medicine | 646 Fm 517 Rd W, Dickinson, TX 77539-3904 | 2009-06-19 |
| 1720254816 | Glenna Rae Tolley | Nurse Practitioner | 646 Fm 517 Rd W, Dickinson, TX 77539-3904 | 2008-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154940351 | Sushkap Dental Pllc | Dentist | 3448 Gulf Fwy., Dickinson, TX 77539 | 2020-04-09 |
| 1912567108 | Doves Home Care Agency, LLC | Home Health | 1124 Oak Hollow Dr, Dickinson, TX 77539 | 2019-06-19 |
| 1245718469 | Divine Csrd, LLC | Occupational Therapist | 608 Farm To Market Road 517 West, Dickinson, TX 77539 | 2018-07-31 |
| 1912491515 | Montoya Wilturner | Behavior Technician | 3001 Avenue B, Dickinson, TX 77539 | 2018-06-18 |
| 1528556370 | Taurus T, Pllc | Internal Medicine | 1621 Fm 517 Rd E, Dickinson, TX 77539 | 2018-04-27 |
| 1720504111 | Southwest Wellness Solutions | Physical Therapist | 608 Fm 517 Rd W, Dickinson, TX 77539 | 2017-08-17 |
| 1578013025 | Joie Hawkins Brownlee | Registered Nurse | 1804 Fm 646 Rd W Ste J, Dickinson, TX 77539 | 2016-10-08 |
| 1942668058 | Kelly Engle | Registered Nurse | 3828 Hughes Ct #104, Utmb Rmchp, Dickinson, TX 77539 | 2016-02-03 |
| 1356715122 | Quynh Le | Pharmacist | 3014 N Meadow Ln, Dickinson, TX 77539 | 2015-11-17 |
| 1144639311 | Jennifer Lee Warwick | Physician Assistant | 680 Fm 517 Road West, Dickinson, TX 77539 | 2014-08-12 |
| Find all providers in zip 77539 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528556370 | Taurus T, Pllc | Internal Medicine | 1621 Fm 517 Rd E, Dickinson, TX 77539 | 2018-04-27 |
| 1548448194 | George Howell Johnson Sr. | Internal Medicine | 5207 Desel Drive, Dickinson, TX 77539-6577 | 2008-02-06 |
| 1730360884 | Nehme Alkarra Md Pa | Internal Medicine | 1455 Fm 646 Rd W Ste 202, Dickinson, TX 77539-2039 | 2007-11-16 |
| 1013970532 | Patricia W Anderson | Internal Medicine | 938 2nd Ave W, Dickinson, ND 58601-3916 | 2006-04-07 |
| 1114989175 | Jd Labash | Internal Medicine | 1173 3rd Ave W, Ste 12, Dickinson, ND 58601-3852 | 2006-04-05 |
| 1922095363 | Mark P Hinrichs | Internal Medicine | 1532 11th St W, Dickinson, ND 58601-3670 | 2005-09-30 |
| 1568459113 | Brian E O'hara | Internal Medicine | 2500 Fairway St, Dickinson, ND 58601-2639 | 2005-09-29 |
| 1386636025 | Nehme Alkarra | Internal Medicine | 1455 Fm 646 Rd W, Suite # 202, Dickinson, TX 77539-2038 | 2005-08-18 |
| 1548266570 | Vipulkumar G. Patel, M.d., P.a. | Internal Medicine | 3828 Hughes Ct, Ste 105, Dickinson, TX 77539-6235 | 2005-06-23 |
| 1326447376 | Joe Robert Taylor | Internal Medicine | 5509 Attwater Ave, Carole Young Medical Facility, Dickinson, TX 77539-4157 | 2014-08-15 |
| Find all providers in DICKINSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.