Provider Demographics
NPI:1467568436
Name:SPANN, JUNE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JUNE
Middle Name:MARIE
Last Name:SPANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 LAS LOMAS DR
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5487
Mailing Address - Country:US
Mailing Address - Phone:512-328-5917
Mailing Address - Fax:
Practice Address - Street 1:404 LAS LOMAS DR
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5487
Practice Address - Country:US
Practice Address - Phone:512-328-5917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2017-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG-1275207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine