Provider Demographics
NPI:1770817223
Name:SPRINKLE, GENEVIEVE (L AC, MSOM)
Entity Type:Individual
Prefix:MS
First Name:GENEVIEVE
Middle Name:
Last Name:SPRINKLE
Suffix:
Gender:F
Credentials:L AC, MSOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 KLEBERG LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-6000
Mailing Address - Country:US
Mailing Address - Phone:512-442-7003
Mailing Address - Fax:
Practice Address - Street 1:4501 KLEBERG LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-6000
Practice Address - Country:US
Practice Address - Phone:512-442-7003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00552171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist