DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRIAN WAYNE SPARKS, PA-C

Active Sole Proprietor

Physician Assistant · BOSSIER CITY, LA

Registration Details

NPI Number
1689907362
Provider Type
Individual
Gender
Male
NPI Issued
Sep 11, 2009 (16.60845473837 yrs)
Last Updated
Sep 29, 2009
License
PA.200306 (LA)
Sole Proprietor
Yes

Practice Information

Address
407 GATOR CV
BOSSIER CITY, LA, 711118219
Browse LA providers · Browse ZIP 71111
Phone
3182082029
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BOSSIER CITY, LA

Name Credential NPI
JENNIFER WILKINSON PA-C 1568408326
MOLLY HENDERSON MARANTO PA-C 1497788517
DANIEL BENJAMIN STRINGER PA 1912194143
CHARLES WAYNE CULPEPPER PA 1033375795
KRISTY A KEHOE PA 1669796926
KRISTEN G. ROBINSON PA 1811207343
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.