TIMOTHY J. SPARKS

FORT WORTH, TX
NPI1457398752
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  688875)
Enumeration Date2006-06-02
Last Update Date2007-07-08
Business Address
-- TIMOTHY J. SPARKS CRNA
4916 OVERTON PLZ
FORT WORTH, TX 76109-4415
Phone number: 888-804-3000
Mailing Address
-- TIMOTHY J. SPARKS CRNA
4916 OVERTON PLZ
FORT WORTH, TX 76109-4415
Phone number: 888-804-3000
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