Provider Demographics
NPI:1508435454
Name:RAMANO A SPRUEIL MD PA
Entity Type:Organization
Organization Name:RAMANO A SPRUEIL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMANO
Authorized Official - Middle Name:A
Authorized Official - Last Name:SPRUEIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-567-6782
Mailing Address - Street 1:5223 HOMER ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-6623
Mailing Address - Country:US
Mailing Address - Phone:972-567-6782
Mailing Address - Fax:
Practice Address - Street 1:5223 HOMER ST STE 201
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-6623
Practice Address - Country:US
Practice Address - Phone:972-567-6782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care