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Maxie C Sprott II MD PA

NPI 1326134594ActiveOrganization· Specialist· Beaumont, TX

Specialist in Beaumont, Texas, registered in NPPES in October 2006. The authorized official on file is Vida Riston Sprott, M.S.N., F.N.P, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1326134594
StatusActive
Entity typeOrganization
NPI issuedOct 5, 2006
Last updated in NPPESJul 31, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000XG2230TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

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