Provider Demographics
NPI:1134398589
Name:SPRADLING, JAMES CHRISTOPHER (CRNA)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CHRISTOPHER
Last Name:SPRADLING
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:2608 N MAIN ST STE B
Mailing Address - Street 2:#231
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-1547
Mailing Address - Country:US
Mailing Address - Phone:360-632-8904
Mailing Address - Fax:
Practice Address - Street 1:590 MEDICAL CENTER ROAD
Practice Address - Street 2:
Practice Address - City:FORT CAVAZOS
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-553-0627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60787205163W00000X
NC229032163W00000X
AK20620163W00000X
WA60787312367500000X
WAAP60787312367500000X
TX1156094367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse