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Individual

DR. DAVID ROBERT SPROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
220 WESLEY DR, KERRVILLE, TX 78028-5809
(830) 896-4711
(830) 257-0878
Mailing address
220 WESLEY DR, KERRVILLE, TX 78028-5809
(830) 896-4711
(830) 257-0878

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H2802
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130796202
TX
01
H2802
PHY LIC
TX
Enumeration date
08/24/2006
Last updated
10/20/2023
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