Spartz, Bradley Jacob

Spartz, Bradley Jacob is an sole proprietor health care provider with primary practice located at 17200 St Lukes Way , The Woodlands TX 77384-8007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Spartz, Bradley Jacob can be contacted via phone (936) 226-2000.

Contact Information

Primary practice address
17200 St Lukes Way The Woodlands TX 77384-8007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101016084 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M9022 Texas

Profile Details

NPI number 1376660118
LBN Legal business name Spartz, Bradley Jacob
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2007
Last updated Aug 3rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376660118 NPPES
Texas MEDICAID 195151901
Texas MEDICAID 195151902

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