Doctor Name: | DR. MICHAEL JEROME SPRYS |
NPI Number: | 1679709893 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | N7881 |
Business Practice Address: | 2200 N Bryan Ave Lamesa, TX - 793312451 |
Business Phone Number: | 8068729271 |
Business Fax Number: | |
Mailing Address: | 3411 University Ave, LUBBOCK |
State: | TX |
Postal Code: | 794132438 |
Phone Number: | 8067960507 |
Fax Number: | 8067996908 |
NPI Enumeration Date: | 06/02/2009 |
NPI Last Update Date: | 06/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | N7881 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |