Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly James Sponhaltz, PA

Individual provider Physician Assistant · NPI 1508181488

Kelly James Sponhaltz, PA is a Physician Assistant in San Antonio, Texas. Qualified in 2009, 17 years ago. Practices with Tmc Provider Group PLLC, a 214-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
17
Licensed in
TX
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

311 Camden St Ste 409
San Antonio, TX 78215-2014
Phone: (210) 228-9605
Fax: (210) 228-9632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 903 W Martin St, San Antonio, TX 78207-0903 — (210) 358-3441
  • 8486 N New Braunfels Ave Apt C, San Antonio, TX 78209-1124 — (210) 882-9524

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA06539 (TX)

Record details

NPI number1508181488
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 2, 2010
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Tmc Provider Group Pllc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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