Maxie C Sprott II MD PA

NPI #1326134594 in Beaumont, Texas

Provider Information

NPI Number
1326134594
Entity Type
Organization
Organization Name
Maxie C Sprott II MD PA
Primary Specialty
Specialist
Enumeration Date
Oct 5, 2006
Last Updated
Jul 31, 2008

Practice Location

Address
2627 CALDER ST
State
Texas
ZIP Code
77702-1916
Phone
(409) 838-4472

Authorized Official

Name
VIDA RISTON SPROTT, M.S.N., F.N.P
Title
CEO
Phone
(409) 838-4472

Specialties & Taxonomy Codes

Specialty
Specialist

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