Provider Demographics
NPI:1053664144
Name:SPANGLER, LOGAN CURTIS (DC)
Entity type:Individual
Prefix:DR
First Name:LOGAN
Middle Name:CURTIS
Last Name:SPANGLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4508 LEGACY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2189
Mailing Address - Country:US
Mailing Address - Phone:214-377-4833
Mailing Address - Fax:214-377-4836
Practice Address - Street 1:4508 LEGACY DR STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2189
Practice Address - Country:US
Practice Address - Phone:214-377-4833
Practice Address - Fax:214-377-4836
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-26
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12176111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX266770YM7YMedicare PIN