Individual
RICKY L SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
13110 W HWY 290 STE 301, AUSTIN, TX 78737-8533
(512) 394-9888
Mailing address
4 LONG CREEK RD, AUSTIN, TX 78737-9303
(512) 394-9888
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01032
TX
Other
Enumeration date
09/10/2009
Last updated
11/06/2013
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