| Dr Charisse Y Sparks, MD | |
|
1809 W Loop 281, Suite 100-131, Longview, TX 75604-2571 | |
| (816) 262-2455 | |
| Not Available |
| Full Name | Dr Charisse Y Sparks |
|---|---|
| Gender | Female |
| Speciality | Orthopaedic Surgery - Orthopaedic Trauma |
| Location | 1809 W Loop 281, Longview, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689694390 | NPI | - | NPPES |
| 209342302 | Medicaid | MO | |
| 719498 | Other | PHP HEALTHLINK | |
| 10001805100 | Other | MO | CHP |
| 200326080A | Medicaid | KS | |
| 35460011 | Other | MO | BCBS KANSAS CITY |
| 7230075 | Other | MO | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 022981 (Missouri) | Secondary |
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | P1597 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charisse Y Sparks, MD 1809 W Loop 281, Suite 100-131, Longview, TX 75604-2571 Ph: (816) 262-2455 | Dr Charisse Y Sparks, MD 1809 W Loop 281, Suite 100-131, Longview, TX 75604-2571 Ph: (816) 262-2455 |
Charles Grooters, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy Ste A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127 | |
Jordan G Stanley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy Ste A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127 | |
Dr. Jack D Elder, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 709 Hollybrook Dr, Suite 3401, Longview, TX 75605 Phone: 903-753-1778 Fax: 903-753-7202 | |
Dr. Jay M Stanley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 705 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Dr. Thomas G Taylor, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy Ste A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127 | |
Dr. Charles R Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 E Marshall Ave, Suite 502, Longview, TX 75601 Phone: 903-315-4435 Fax: 903-236-4766 | |
Dr. Jonathan W Fontenot, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy Ste A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127 |