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
Fax: (830) 257-0878
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487761326 NPPES
Texas Other H2802 PHY LIC
Texas MEDICAID 130796202 PHY LIC

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