Individual
DR. CHARLES RUSSELL SPARENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 W 15TH ST, #106, PLANO, TX 75075-7751
(972) 867-2522
(972) 867-3182
Mailing address
3900 W 15TH ST, #106, PLANO, TX 75075-7751
(972) 867-2522
(972) 867-3182
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
C9674
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
C9674
TX
Other
Enumeration date
10/26/2006
Last updated
05/02/2016
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