Provider Demographics
NPI:1184013328
Name:SPRABERRY, EPHRIAN (DC)
Entity Type:Individual
Prefix:
First Name:EPHRIAN
Middle Name:
Last Name:SPRABERRY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 S HULEN ST STE 124-1320
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-1929
Mailing Address - Country:US
Mailing Address - Phone:817-953-6316
Mailing Address - Fax:817-953-6347
Practice Address - Street 1:3000 S HULEN ST STE 124-1320
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-1929
Practice Address - Country:US
Practice Address - Phone:817-953-6316
Practice Address - Fax:817-953-6347
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-12
Last Update Date:2024-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12809111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor