Individual
DR. BRADLEY JACOB SPARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
17200 ST LUKES WAY, THE WOODLANDS, TX 77384-8007
(936) 226-2000
Mailing address
67 ACREWOODS PL, THE WOODLANDS, TX 77382-2091
(281) 419-9613
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101016084
MI
207P00000X
Emergency Medicine Physician
Primary
M9022
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195151901
—
TX
05
—
195151902
—
TX
Enumeration date
03/25/2007
Last updated
08/03/2009
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