Provider Demographics
NPI:1881965481
Name:SPURS LANE MEDICAL ASSOCIATES PA
Entity type:Organization
Organization Name:SPURS LANE MEDICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:VOSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-615-8003
Mailing Address - Street 1:2 SPURS LANE
Mailing Address - Street 2:BLDG 6 STE 100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1634
Mailing Address - Country:US
Mailing Address - Phone:210-615-8003
Mailing Address - Fax:210-615-1141
Practice Address - Street 1:21 SPURS LN STE 260
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1671
Practice Address - Country:US
Practice Address - Phone:210-615-8003
Practice Address - Fax:210-615-1141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-13
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207R00000X
TXL5719207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty