Provider Demographics
NPI:1154741833
Name:SPRAGGINS, JAROD
Entity type:Individual
Prefix:MR
First Name:JAROD
Middle Name:
Last Name:SPRAGGINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4107 MEDICAL DR
Mailing Address - Street 2:4106
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5620
Mailing Address - Country:US
Mailing Address - Phone:210-414-7024
Mailing Address - Fax:
Practice Address - Street 1:4107 MEDICAL DR
Practice Address - Street 2:4106
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5620
Practice Address - Country:US
Practice Address - Phone:210-414-7024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program