Individual
MR. DOUGLAS RAY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2201 CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP116234
TX
Other
Enumeration date
01/04/2007
Last updated
02/29/2024
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