Organization
C.RUSSELL SPARENBERG,MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RUSSELL SPARENBERG MD (OWNER)
(972) 867-2522
Entity
Organization
Contact information
Practice address
3900 W 15TH ST, #106, PLANO, TX 75075-7751
(972) 867-2522
(972) 867-3182
Mailing address
3900 W 15TH ST, SUITE 106, PLANO, TX 75075-7751
(972) 867-2522
(972) 867-3182
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
C9674
TX
Other
Enumeration date
01/24/2008
Last updated
03/29/2016
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