Provider Demographics
NPI:1396754958
Name:SPONSEL, WILLIAM E (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:SPONSEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5210 THOUSAND OAKS DR STE 1244
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-6974
Mailing Address - Country:US
Mailing Address - Phone:210-223-9292
Mailing Address - Fax:210-223-9266
Practice Address - Street 1:5210 THOUSAND OAKS DR STE 1244
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-6974
Practice Address - Country:US
Practice Address - Phone:210-223-9292
Practice Address - Fax:210-223-9266
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ7208207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX103588302OtherCIDC
TX103588303Medicaid
TX81SAOtherBLUE CROSS OF TEXAS
TXE97682Medicare UPIN
TX103588302OtherCIDC
TX613116Medicare PIN