DR. VICKI J SPARKS (NPI# 1265536254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265536254 |
| Entity Type | Individual |
| Full Name | DR. VICKI J SPARKS |
| Credential | MD |
| Practice Address |
114 Southbridge St Suite D San Antonio TX 78216-6200 |
| Mailing Address |
114 Southbridge St Ste D San Antonio TX 78216-6200 |
| Practice Telephone | 2103402707 |
| Practice Fax Number | 2103402746 |
| Mailing Telephone | 2103402707 |
| Mailing Fax Number | 2103402746 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2013-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | E6215 | TX | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | E6215 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 139217710 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023178613 | Vicki Lynn Sparks | Specialist | 10000 W 75th St, Suite 250, Merriam, KS 66204-2209 | 2006-12-12 |
| Street Address |
114 SOUTHBRIDGE ST SUITE D |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720600778 | Cano Health Texas Pllc | General Practice | 7031 Marbach Rd, San Antonio, TX 78227-1911 | 2020-05-13 |
| 1962056762 | Medexpress Primary Care Texas, P.a. | General Practice | 6200 Northwest Pkwy, San Antonio, TX 78249-3348 | 2019-07-30 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| 1295231017 | Matthew Hagen | General Practice | Sammc Im Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2018-04-02 |
| 1881197945 | Caitlin Leigh Castle | General Practice | Uthscsa Dept. of Psychiatry, 7703 Floyd Curl Drive, Mail Code 7792, San Antonio, TX 78229-3900 | 2018-03-15 |
| 1710480025 | Patrick Richard Notini | General Practice | 7703 Floyd Curl Dr, Mail Code 7792, San Antonio, TX 78229-3900 | 2018-03-13 |
| 1316477821 | San Antonio Weightloss LLC | General Practice | 11212 State Highway 151 Ste 210, San Antonio, TX 78251-4501 | 2017-06-16 |
| 1336675396 | Morgan S Hardy | General Practice | 7703 Floyd Curl Dr. Rm 717.f4, Department of Psychiatry, San Antonio, TX 78229-3900 | 2017-05-11 |
| 1730542853 | Sylvester Luu | General Practice | San Antonio Military Medical Center Mche-zdm-m Internal, Medicine, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2016-04-05 |
| 1013384866 | Klarisana Physician Services Pllc | General Practice | 8600 Wurzbach Rd Ste 1110, San Antonio, TX 78240 | 2015-08-27 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
Please comment or provide details below to improve the information on DR. VICKI J SPARKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.