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1063273019
MATTHEW NATHAN SPARKS
TEXARKANA, TX
NPI
1063273019
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Former Name
MATTHEW NATHAN SPARKS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA17731)
Enumeration Date
2024-01-17
Last Update Date
2024-02-21
Business Address
MATTHEW NATHAN SPARKS PA-C
1400 COLLEGE DR
TEXARKANA, TX 75503-3536
Phone number: 903-791-1110
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Mailing Address
MATTHEW NATHAN SPARKS PA-C
PO BOX 1326
MARSHALL, TX 75671-1326
Phone number: 903-927-3782
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