| NPI | 1952682312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C. SPARKS Physician/Owner 936-539-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX H7351) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2020-04-21 |