Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARISSE Y SPARKS, MD
ActiveDR. CHARISSE Y SPARKS, MD is a Orthopaedic Trauma healthcare provider located in LONGVIEW, Texas. NPI 1689694390 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Trauma · LONGVIEW, TX
Registration Details
- NPI Number
- 1689694390
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2006 (20.102347004282 yrs)
- Last Updated
- Mar 13, 2013
- Licenses
-
022981 (MO)P1597 (TX)
Practice Information
- Address
-
1809 W LOOP 281SUITE 100-131LONGVIEW, TX, 756042571Browse TX providers · Browse ZIP 75604
- Phone
- 8162622455
- Primary Specialty
-
Orthopaedic Trauma
207XX0801X
- Additional Specialty
- Orthopaedic Trauma
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.