Individual
J ERIC SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 24TH ST, LUBBOCK, TX 79410-1894
(806) 725-1101
Mailing address
3411 UNIVERSITY AVE, LUBBOCK, TX 79413-2438
(806) 796-0507
(806) 799-6908
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
N7880
TX
Other
Enumeration date
08/23/2007
Last updated
01/06/2012
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