Individual
DR. TWANA LIVETTE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 N HUDSON ST, SILVER CITY, NM 88061-5516
(505) 538-0486
(505) 538-9179
Mailing address
1000 N HUDSON ST, SILVER CITY, NM 88061-5516
(505) 538-0486
(505) 538-9179
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
87-386NM
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3033
LOVELACE SALUD
NM
01
—
3297479
CIGNA
NM
01
—
NM002363
BC/BS OF NM
NM
Enumeration date
05/23/2006
Last updated
07/08/2007
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