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Organization
LONESTARNP AT HOME
Active
Organization
LONESTARNP AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD SPARKMAN (OWNER)
(830) 333-3490
Entity
Organization
Contact information
Practice address
146 COUNTY ROAD 2732, MICO, TX 78056-5339
(830) 333-3490
(833) 693-0634
Mailing address
146 COUNTY ROAD 2732, MICO, TX 78056-5339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
01/11/2022
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