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Individual

ANNIE SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1408 COLLEGE DR, TEXARKANA, TX 75503-3534
(903) 791-1110
(903) 927-1764
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18203
TX
363AM0700X
Medical Physician Assistant

Other

Enumeration date
02/01/2024
Last updated
04/09/2026
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