Provider Demographics
NPI:1073721478
Name:WILLIAM W. SPURBECK, M.D., P.A.
Entity Type:Organization
Organization Name:WILLIAM W. SPURBECK, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:SPURBECK
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:915-546-2656
Mailing Address - Street 1:125 W HAGUE RD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5814
Mailing Address - Country:US
Mailing Address - Phone:915-546-2656
Mailing Address - Fax:915-546-2646
Practice Address - Street 1:125 W HAGUE RD
Practice Address - Street 2:SUITE 170
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5814
Practice Address - Country:US
Practice Address - Phone:915-546-2656
Practice Address - Fax:915-546-2646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM13672086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI34017Medicare UPIN
TX8F0599Medicare ID - Type Unspecified