Individual
JULIE MCKENZIE SPRUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 W 38TH ST STE 300, AUSTIN, TX 78705-1166
(512) 421-4100
(512) 419-0924
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP1-0036594
TX
208600000X
Surgery Physician
Q0571
TX
2086X0206X
Surgical Oncology Physician
Primary
Q0571
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360213801
—
TX
05
—
360213802
—
TX
Enumeration date
04/01/2010
Last updated
07/29/2022
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