Alexander Sparkman-royo, MD | |
221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | |
(575) 784-1104 | |
Not Available |
Full Name | Alexander Sparkman-royo |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 221 3rd St W Bldg 1040, Jbsa Randolph, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255713491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | T4854 (Texas) | Primary |
Entity Name | Barrio Comprehensive Family Health Care Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902883739 PECOS PAC ID: 1153226691 Enrollment ID: O20040130000447 |
Mailing Address | Practice Location Address |
---|---|
Alexander Sparkman-royo, MD 5210 Thousand Oaks Dr Ste 1203, San Antonio, TX 78233-6974 Ph: (210) 233-7250 | Alexander Sparkman-royo, MD 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 Ph: (575) 784-1104 |
Andrew Pellegrin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 210-652-8544 | |
Mary Temitope Ileso, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 210-652-4127 | |
Jessica-renee Gamboa, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 221 3rd St W, Jbsa Randolph, TX 78150 Phone: 210-652-8544 | |
Dr. William I Lin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 830-298-6538 | |
Dr. Kasey Carl Welch, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 210-652-4264 | |
Dr. Cecelia Mariko Luda, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 221 3rd St W, Jbsa Randolph, TX 78150 Phone: 210-565-0685 |