Vicki J Sparks


Address: 114 Southbridge St, Suite D, San Antonio, TX 78216-6200
Phone: 2103402707

Vicki J Sparks (NPI# 1265536254, PAC ID# 1951383629) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1265536254
PAC ID by PECOS 1951383629
Professional Enrollment ID I20040605000123
Full Name Vicki J Sparks
Address 114 Southbridge St
Suite D
San Antonio
TX 78216-6200
Phone Number 2103402707
Gender F
Credential MD
Medical School UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year 1976
Primary Specialty GENERAL PRACTICE
Secondary Specialties EMERGENCY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450058 BAPTIST MEDICAL CENTER

Other Locations

Address Phone Organization
114 Southbridge St, Suite D, San Antonio, TX 78216-6200 2103402707

Organization Information

Office Location

Street Address 114 SOUTHBRIDGE ST
SUITE D
City SAN ANTONIO
State TX
Zip 78216-6200

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Competitor

Search similar physicians

City SAN ANTONIO
Zip Code 78216
Specialty GENERAL PRACTICE
City + Specialty SAN ANTONIO + GENERAL PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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