Individual
DR. RYAN LE SPARKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6440
(254) 724-0932
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
P23713
TX
207L00000X
Anesthesiology Physician
Primary
P2373
TX
390200000X
Student in an Organized Health Care Education/Training Program
532469
TX
Other
Enumeration date
06/10/2008
Last updated
10/30/2020
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