Sparks, Vicki J

Sparks, Vicki J is an sole proprietor health care provider with primary practice located at 114 Southbridge St Suite D , San Antonio TX 78216-6200. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Sparks, Vicki J can be contacted via phone (210) 340-2707.

Contact Information

Primary practice address
114 Southbridge St Suite D San Antonio TX 78216-6200
Phone: (210) 340-2707
Fax: (210) 340-2746
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E6215 Texas
Allopathic & Osteopathic Physicians / General Practice 208D00000X E6215 Texas

Profile Details

NPI number 1265536254
LBN Legal business name Sparks, Vicki J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2006
Last updated Oct 4th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265536254 NPPES
Texas MEDICAID 139217710

Popular Providers