Sprockel, Peter Timothy
Sprockel, Peter Timothy is an individual health care provider with primary practice located at 18400 Katy Fwy Ste 200 , Houston TX 77094-1295. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Sprockel, Peter Timothy can be contacted via phone (832) 522-8280.Contact Information
Primary practice address
18400 Katy Fwy Ste 200
Houston TX 77094-1295
Phone: (832) 522-8280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | N1460 | Texas |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | N1460 | Texas |
Profile Details
| NPI number | 1891966446 |
|---|---|
| LBN Legal business name | Sprockel, Peter Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2008 |
| Last updated | Mar 17th, 2018 - about 8 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 | 1891966446 | NPPES |
| Texas | MEDICAID | 355049303 | |
| Texas | MEDICAID | 355049304 |
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