| Chris Sparkman Md Pa | |
|
121 Vision Park Blvd Ste 110 Shenandoah TX 77384-3027 | |
| (936) 224-4976 | |
| (832) 995-5874 |
| Full Name | Chris Sparkman Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 121 Vision Park Blvd Ste 110, Shenandoah, Texas |
| Authorized Official Name and Position | Chris Alan Sparkman (PRESIDENT) |
| Authorized Official Contact | 9362732016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris Sparkman Md Pa 15 Player Vista Pl The Woodlands TX 77382-2928 Ph: (832) 878-5578 | Chris Sparkman Md Pa 121 Vision Park Blvd Ste 110 Shenandoah TX 77384-3027 Ph: (936) 224-4976 |
| NPI Number | 1316138746 |
|---|---|
| Provider Enumeration Date | 08/09/2007 |
| Last Update Date | 10/13/2021 |
| Medicare PECOS PAC ID | 3779810684 |
|---|---|
| Medicare Enrollment ID | O20190814002646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316138746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L5571 (Texas) | Primary |
| Provider Name | Chris A Sparkman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073618104 PECOS PAC ID: 5991609265 Enrollment ID: I20031120000148 |
| Provider Name | Elizabeth Wilhite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942668280 PECOS PAC ID: 1052601291 Enrollment ID: I20160601000237 |
| Provider Name | Catherine G Worley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467906602 PECOS PAC ID: 5092097477 Enrollment ID: I20170119000945 |
| Provider Name | Melissa K Wilkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922553510 PECOS PAC ID: 1557637964 Enrollment ID: I20171030000958 |
| Provider Name | James R Quigley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477794675 PECOS PAC ID: 3375803273 Enrollment ID: I20180215000448 |
| Provider Name | Tabatha Kristi Mize |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114438199 PECOS PAC ID: 8022352228 Enrollment ID: I20181128003042 |
| Provider Name | Amini Gamilah Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194289355 PECOS PAC ID: 6800138371 Enrollment ID: I20190502001325 |
| Provider Name | Victorine L Akpo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942776463 PECOS PAC ID: 2264769413 Enrollment ID: I20190809001732 |
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