Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | OS9987 | FL |
NPI | 1013134196 |
---|---|
Provider Name | Michael Phillip Sprintz |
First Address | Shenandoah, TX 77384-3003 |
Second Address | Shenandoah, TX 77384-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 08/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02403868 | (05) | MS |
1013617 | (05) | LA |