Individual
DR. SPOGMAI NONESUPPLIED KOMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0462
(409) 772-4194
Mailing address
301 UNIVERSITY BLVD, ROUTE 0534, GALVESTON, TX 77555-3401
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N2153
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3870853725
MYUTMB 3870853725-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
12/06/2022
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