Individual
MR. WAYNE RAY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPSS
Contact information
Practice address
5151 MAPLE AVE STE 4D, DALLAS, TX 75235-8136
(469) 419-1209
Mailing address
5151 MAPLE AVE, DALLAS, TX 75235-8136
(214) 664-7195
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1729-0323
TX
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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