Provider Demographics
NPI:1063401669
Name:SPURGAT, THOMAS STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:STEVEN
Last Name:SPURGAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:313 WILD TURKEY BLVD
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-8021
Mailing Address - Country:US
Mailing Address - Phone:210-543-7334
Mailing Address - Fax:830-249-9868
Practice Address - Street 1:15069 IH 35 N STE 116
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:TX
Practice Address - Zip Code:78154-3372
Practice Address - Country:US
Practice Address - Phone:210-543-7334
Practice Address - Fax:210-314-5044
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6875207P00000X, 207PP0204X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F0305Medicare PIN
TX137101514Medicaid
E77607Medicare UPIN