MEDICARE: WILLIAM E SPONSEL, M.D. PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	J7208	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568600534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM E SPONSEL, M.D. PA

Provider Business Mailing Address
First Line	:	5210 THOUSAND OAKS DR STE 1244
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78233-6974
Country	:	US
Telephone Number	:	210-223-9292
Fax Number	:	210-223-9266

Provider Business Practice Location Address
First Line	:	5210 THOUSAND OAKS DR STE 1244
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78233-6974
Country	:	US
Telephone Number	:	210-223-9292
Fax Number	:	210-223-9266

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIAM E SPONSEL
Credential	:	M.D.
Telephone Number	:	210-223-9292

Provider Enumeration Date	:	01/29/2009
Last Update Date	:	12/28/2022

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