| Organization Name: | THOMAS SPANN CLINIC, PA |
| NPI Number: | 1922084227 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BELINDA CHISM (CHIEF FINANCIAL OFFICER(CFO)) |
| Mailing Address: | 7121 South Padre Island Drive Ste 300 Corpus Christi |
| State: | TX US |
| Postal Code: | 784124940 |
| Phone Number: | 3616966043 |
| Fax Number: | 3616966060 |
| NPI Enumeration Date: | 12/19/2005 |
| NPI Last Update Date: | 12/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |