Sprouse, David Robert
Sprouse, David Robert is an individual health care provider with primary practice located at 220 Wesley Dr , Kerrville TX 78028-5809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sprouse, David Robert can be contacted via phone (830) 896-4711.Contact Information
Primary practice address
220 Wesley Dr
Kerrville TX 78028-5809
Phone: (830) 896-4711
Fax: (830) 257-0878
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H2802 | Texas |
Profile Details
NPI number | 1487761326 |
---|---|
LBN Legal business name | Sprouse, David Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 24th, 2006 |
Last updated | Oct 20th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487761326 | NPPES |
Texas | Other | H2802 | PHY LIC |
Texas | MEDICAID | 130796202 | PHY LIC |
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