Individual
DR. THERESA B. SPARKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
221 3RD ST W, RANDOLPH AFB, TX 78150-4800
(509) 247-5217
Mailing address
221 3RD ST W, RANDOLPH AFB, TX 78150-4800
(509) 247-5217
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.075705
OH
2084P0800X
Psychiatry Physician
Primary
18703
NE
Other
Enumeration date
11/18/2005
Last updated
06/12/2009
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