Individual
MR. JASON PHILIP SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, CPHT, PHTR
Contact information
Practice address
12400 W HWY 71, BEE CAVE, TX 78738-6517
(512) 263-0561
(512) 263-7179
Mailing address
12409 ACE IN THE HOLE LN, DEL VALLE, TX 78617-2050
(512) 983-1740
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
100125
TX
Other
Enumeration date
02/22/2009
Last updated
08/02/2025
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