Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | M1367 | TX |
NPI | 1578554895 |
---|---|
Provider Name | Dr. William W Spurbeck |
First Address | El Paso, TX 79995-9520 |
Second Address | El Paso, TX 79905-2837 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2005 |
Last Update Date | 17/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
174271001 | (05) | TX |
I34017 | (02) |