Provider Demographics
NPI:1164181442
Name:SOUTH EAST TEXAS POST ACUTE CARE SPECIALISTS INC
Entity Type:Organization
Organization Name:SOUTH EAST TEXAS POST ACUTE CARE SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPANGLER JR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-385-4835
Mailing Address - Street 1:16516 EL CAMINO REAL # 252
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-5723
Mailing Address - Country:US
Mailing Address - Phone:346-230-7095
Mailing Address - Fax:281-984-7585
Practice Address - Street 1:1300 BAY AREA BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2505
Practice Address - Country:US
Practice Address - Phone:346-230-7095
Practice Address - Fax:281-984-7585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty