Sparks, Douglas Ray

Sparks, Douglas Ray is an individual health care provider with primary practice located at 2201 Clear Creek Rd , Killeen TX 76549-4110. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Sparks, Douglas Ray can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2201 Clear Creek Rd Killeen TX 76549-4110
Phone: (254) 724-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP116234 Texas

Profile Details

NPI number 1619024379
LBN Legal business name Sparks, Douglas Ray
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Feb 29th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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