Individual
STACEY D SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
845 OLIVE ST, SHREVEPORT, LA 71104-2141
(318) 226-4892
(318) 227-4927
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-8951
(318) 212-6752
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
205277
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515728
—
LA
Enumeration date
04/15/2009
Last updated
02/08/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us