Spartz, Bradley Jacob
Spartz, Bradley Jacob is an sole proprietor health care provider with primary practice located at 17200 St Lukes Way , The Woodlands TX 77384-8007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Spartz, Bradley Jacob can be contacted via phone (936) 226-2000.Contact Information
Primary practice address
17200 St Lukes Way
The Woodlands TX 77384-8007
Phone: (936) 226-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 5101016084 | Michigan |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M9022 | Texas |
Profile Details
| NPI number | 1376660118 |
|---|---|
| LBN Legal business name | Spartz, Bradley Jacob |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2007 |
| Last updated | Aug 3rd, 2009 - about 17 years ago |
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 | 1376660118 | NPPES |
| Texas | MEDICAID | 195151901 | |
| Texas | MEDICAID | 195151902 |
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