Individual
DAVID W SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3491 SCARLET ROSE, SCHERTZ, TX 78154-3645
(210) 659-7176
Mailing address
3491 SCARLET ROSE, SCHERTZ, TX 78154-3645
(210) 659-7176
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1108249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108249
PT LICENSE
TX
Enumeration date
08/10/2018
Last updated
08/10/2018
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