Blake Sparks, M.D. is a plastic and reconstructive surgery surgery in Galveston, TX with 9 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Blake Sparks, M.D. NPI is 1194112870. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2015
The provider's business location address is:
301 UNIVERSITY BLVD
GALVESTON, TX
ZIP 77555-724
Phone: (409) 772-8119
Fax: (409) 772-1872
The NPI 1194112870 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/21/2015 and was last updated on 4/21/2015.