Individual
MRS. BLAIR LEVESQUE SPRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2088
(214) 820-2361
Mailing address
4661 HEARTHSTONE DR, FRISCO, TX 75034-2132
(817) 897-6888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
U4024
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2021
Last updated
07/02/2024
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