Individual
CORI ANN SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 TEXAN TRL STE 300, CORPUS CHRISTI, TX 78411-2549
(361) 854-0811
(361) 806-5040
Mailing address
601 TEXAN TRL STE 300, CORPUS CHRISTI, TX 78411-2549
(361) 854-0811
(361) 806-5040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13780
TX
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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