Organization
JOHN C. SPARKS JR. MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C. SPARKS JR. M.D. (PHYSICIAN/OWNER)
(936) 539-2663
Entity
Organization
Contact information
Practice address
1020 RIVERWOOD CT, SUITE 340, CONROE, TX 77304
(936) 539-2663
(936) 539-2664
Mailing address
1020 RIVERWOOD CT, SUITE 340, CONROE, TX 77304
(936) 539-2663
(936) 539-2664
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H7351
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096941201
—
TX
Enumeration date
08/30/2011
Last updated
04/21/2020
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