Provider Demographics
NPI:1013339381
Name:SPR MEDICAL GROUP
Entity Type:Organization
Organization Name:SPR MEDICAL GROUP
Other - Org Name:SUPERIOR PHYSICAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BRYCE
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-248-9592
Mailing Address - Street 1:7700 CAT HOLLOW DR STE 101
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5797
Mailing Address - Country:US
Mailing Address - Phone:512-255-8888
Mailing Address - Fax:512-248-9451
Practice Address - Street 1:7700 CAT HOLLOW DR STE 101
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5797
Practice Address - Country:US
Practice Address - Phone:512-255-8888
Practice Address - Fax:512-248-9451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-06
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty