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Individual
DR. PETER TIMOTHY SPROCKEL
Active
Individual
DR. PETER TIMOTHY SPROCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
N1460
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
N1460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355049303
—
TX
05
—
355049304
—
TX
Enumeration date
03/21/2008
Last updated
08/08/2024
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