Organization
SPRITE HEALTH MSO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK GAGNEJA (CEO)
(512) 639-3206
Entity
Organization
Contact information
Practice address
5000 RIVERSIDE DR STE 100, IRVING, TX 75039-4314
(512) 639-3206
Mailing address
1804 SHADY GROVE CT, WESTLAKE, TX 76262-8236
(512) 639-3206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
174H00000X
Health Educator
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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