Healthcare Provider Details

I. General information

NPI: 1982800116
Provider Name (Legal Business Name): REBEKAH ELIZABETH SPERLING M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 08/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E WHITESTONE BLVD
CEDAR PARK TX
78613-9049
US

IV. Provider business mailing address

12201 RENFERT WAY SUITE #110
AUSTIN TX
78758-5354
US

V. Phone/Fax

Practice location:
  • Phone: 512-259-0900
  • Fax: 512-259-0949
Mailing address:
  • Phone: 512-491-5125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM6892
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: