Individual
DR. VICKI J SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
114 SOUTHBRIDGE ST SUITE D, SAN ANTONIO, TX 78216-6200
(210) 340-2707
(210) 340-2746
Mailing address
114 SOUTHBRIDGE ST STE D, SAN ANTONIO, TX 78216-6200
(210) 340-2707
(210) 340-2746
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E6215
TX
208D00000X
General Practice Physician
Primary
E6215
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139217710
—
TX
Enumeration date
09/11/2006
Last updated
10/04/2013
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