Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | N7881 | TX |
Y | 207Q00000X | Family Doctor | N7881 | TX |
NPI | 1679709893 |
---|---|
Provider Name | Dr. Michael Jerome Sprys |
First Address | Lubbock, TX 79413-2438 |
Second Address | Lamesa, TX 79331-2451 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2009 |
Last Update Date | 25/06/2012 |