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NPI Code Detail

MEDICARE: JEREMY N SPROTT L.P.C.

MEDICARE:   JEREMY N SPROTT  L.P.C.
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
1101YP2500XProfessional Counselor61915TX

General Provider Information

NPI Number : 1790016061
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY N SPROTT L.P.C.
Provider Business Mailing Address
First Line : 16710 STONESIDE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77095-6514
Country : US
Telephone Number : 832-464-5131
Fax Number : 832-201-8679
Provider Business Practice Location Address
First Line : 16710 STONESIDE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77095-6514
Country : US
Telephone Number : 832-464-5131
Fax Number : 832-201-8679
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2010
Last Update Date : 05/08/2024

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Directions to “ JEREMY N SPROTT L.P.C.” Practice Location

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