Provider Demographics
NPI:1992714620
Name:SPRECHER, KYLE OWEN (DC)
Entity type:Individual
Prefix:DR
First Name:KYLE
Middle Name:OWEN
Last Name:SPRECHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 E NASA PKWY
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-5314
Mailing Address - Country:US
Mailing Address - Phone:281-332-1111
Mailing Address - Fax:281-333-0523
Practice Address - Street 1:425 E NASA PKWY
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-5314
Practice Address - Country:US
Practice Address - Phone:281-332-1111
Practice Address - Fax:281-333-0523
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4523111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4523OtherSTATE LICENSE NUMBER
TXT16055Medicare UPIN
TX601986Medicare ID - Type UnspecifiedMEDICARE NUMBER