Sparks Clinic PA

NPI #1841214467 in Rockwall, Texas

Provider Information

NPI Number
1841214467
Entity Type
Organization
Organization Name
Sparks Clinic PA
Primary Specialty
Family Medicine
Enumeration Date
Jul 27, 2006
Last Updated
Jul 28, 2008

Practice Location

Address
103 N 1ST STREET
State
Texas
ZIP Code
75087-3033
Phone
(972) 771-5366

Authorized Official

Name
DR. ROBERT DALE SPARKS, DO
Title
OWNER
Phone
(972) 771-5366

Specialties & Taxonomy Codes

Specialty
Family Medicine

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