Individual
DR. DANA SPRUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1313 RED RIVER ST STE 100, AUSTIN MEDICAL EDUCATION FAMILY MEDICINE RESIDENCY, AUSTIN, TX 78701-1923
(512) 324-8600
(512) 324-8616
Mailing address
1601 RIO GRANDE ST STE 348, AUSTIN, TX 78701-1149
(512) 324-8960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J6741
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132110104
—
TX
01
—
80069K
BCBS ID #
TX
Enumeration date
07/19/2006
Last updated
01/31/2013
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