Healthcare Provider Details

I. General information

NPI: 1073721478
Provider Name (Legal Business Name): WILLIAM W. SPURBECK, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W HAGUE RD SUITE 170
EL PASO TX
79902-5814
US

IV. Provider business mailing address

125 W HAGUE RD SUITE 170
EL PASO TX
79902-5814
US

V. Phone/Fax

Practice location:
  • Phone: 915-546-2656
  • Fax: 915-546-2646
Mailing address:
  • Phone: 915-546-2656
  • Fax: 915-546-2646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberM1367
License Number StateTX

VIII. Authorized Official

Name: MARIA VICTORIA SPURBECK
Title or Position: OFFICE MANAGER
Credential: M.D.,
Phone: 915-546-2656