Provider Demographics
NPI:1568600534
Name:WILLIAM E SPONSEL, M.D. PA
Entity Type:Organization
Organization Name:WILLIAM E SPONSEL, M.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:SPONSEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-223-9292
Mailing Address - Street 1:5210 THOUSAND OAKS DR STE 1244
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-6974
Mailing Address - Country:US
Mailing Address - Phone:210-223-9292
Mailing Address - Fax:210-223-9266
Practice Address - Street 1:5210 THOUSAND OAKS DR STE 1244
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-6974
Practice Address - Country:US
Practice Address - Phone:210-223-9292
Practice Address - Fax:210-223-9266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7208207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX103588303Medicaid
TXE97682Medicare UPIN
TX103588303Medicaid