Healthcare Provider Details

I. General information

NPI: 1356226567
Provider Name (Legal Business Name): PRECISION LONGEVITY AND FAMILY MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5512 114TH ST
LUBBOCK TX
79424-2177
US

IV. Provider business mailing address

5512 114TH ST
LUBBOCK TX
79424-2177
US

V. Phone/Fax

Practice location:
  • Phone: 979-575-7298
  • Fax:
Mailing address:
  • Phone: 806-288-1075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL JEROME SPRYS
Title or Position: OWNER/PHYSICIAN
Credential: DO
Phone: 979-575-7298