Individual
MAXIE C SPROTT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2627 CALDER ST, BEAUMONT, TX 77702-1916
(409) 838-4472
(409) 838-0496
Mailing address
2627 CALDER ST, BEAUMONT, TX 77702-1916
(409) 838-4472
(409) 838-0496
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G2230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137207003
—
TX
05
—
137207006
—
TX
Enumeration date
10/27/2005
Last updated
09/28/2011
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