Private Corp | |
407 East Parkwood Friendswood TX 77546 | |
(281) 992-3368 | |
(281) 992-2291 |
Full Name | Private Corp |
---|---|
Speciality | Dentist |
Location | 407 East Parkwood, Friendswood, Texas |
Authorized Official Name and Position | Richard G Sparks (DDS) |
Authorized Official Contact | 2819923368 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Private Corp 407 East Parkwood Friendswood TX 77546 Ph: (281) 992-3368 | Private Corp 407 East Parkwood Friendswood TX 77546 Ph: (281) 992-3368 |
NPI Number | 1346338654 |
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Provider Enumeration Date | 10/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346338654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 18708 (Texas) | Primary |
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