Charisse Y Sparks in Longview - Orthopaedic Trauma
Charisse Y Sparks - NPI 1689694390
Charisse Y Sparks is a Orthopaedic Trauma in Longview, Texas. Charisse Y Sparks practices all healthcare services and medical treatments related to Orthopaedic Trauma. The NPI Number for Charisse Y Sparks is 1689694390. The last update date is 2013-03-13.
Charisse Y Sparks's current location address is 1809 W Loop 281, Longview, Texas. You can contact this provider via phone number 8162622455. The mailing address for Charisse Y Sparks is 1809 W Loop 281, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charisse Y Sparks |
|---|---|
| Address | 1809 W Loop 281, Longview, Texas |
| Phone Number | 8162622455 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1689694390 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2013-03-13 |
Provider Mailing Address Detail
| Address | 1809 W Loop 281 |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756042571 |
| Phone Number | 8162622455 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Trauma |
|---|---|
| Taxonomy | 207Xx0801X |
| Licence No | 22981 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic defo |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 209342302 | MO | -- | |
| 719498 | PHP HEALTHLINK | ||
| 10001805100 | MO | CHP | |
| 200326080A | KS | -- | |
| 35460011 | MO | BCBS KANSAS CITY | |
| 7230075 | MO | AETNA |
Post Comment/ Review Below
What is the Charisse Y Sparks's unique identification number?
The Charisse Y Sparks has been assigned the NPI (National Provider Identifier) Number 1689694390 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Charisse Y Sparks?
The Charisse Y Sparks is physically situated at 1809 W Loop 281, in the city of Longview, state of TX, with the postal code 756042571.
What is the area of specialization for Charisse Y Sparks, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charisse Y Sparks is Orthopaedic Trauma, and the corresponding taxonomy code that categorizes this area of expertise is 207Xx0801X.
On what date did the Charisse Y Sparks receive its 1689694390 assignment from the Centers for Medicare & Medicaid Services?
The Charisse Y Sparks was assigned its 1689694390 by the Centers for Medicare & Medicaid Services on 2006-07-19.
As of what date was the information pertaining to Charisse Y Sparks, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charisse Y Sparks, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-03-13.