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Organization
SPARKS CLINIC PA
Active
Organization
SPARKS CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DALE SPARKS DO (OWNER)
(972) 771-5366
Entity
Organization
Contact information
Practice address
103 N 1ST STREET, ROCKWALL, TX 75087-3033
(972) 771-5366
(972) 771-0424
Mailing address
103 N 1ST ST, ROCKWALL, TX 75087-3033
(972) 771-5366
(972) 771-0424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F0682
TX
Other
Enumeration date
07/27/2006
Last updated
07/28/2008
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