Basic Information
| Provider Information | |||||||||
| NPI: | 1063401669 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SPURGAT | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | STEVEN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 313 WILD TURKEY BLVD | ||||||||
| Address2: | |||||||||
| City: | BOERNE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 780068021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2105437334 | ||||||||
| FaxNumber: | 8302499868 | ||||||||
| Practice Location | |||||||||
| Address1: | 15069 IH 35 N STE 116 | ||||||||
| Address2: | |||||||||
| City: | SELMA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 781543372 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2105437334 | ||||||||
| FaxNumber: | 2103145044 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2005 | ||||||||
| LastUpdateDate: | 12/18/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | G6875 | TX | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207PP0204X | G6875 | TX | N | Allopathic & Osteopathic Physicians | Emergency Medicine | Pediatric Emergency Medicine | 208000000X | G6875 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.