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SPARKS FAMILY MEDICINE LTD NPI 1912003054


NPI Information

NPI: 1912003054
Provider Name: SPARKS FAMILY MEDICINE LTD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
410 S RAMPART BLVD STE 390
LAS VEGAS, NV
ZIP 89145
Phone: (702) 722-2200
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SPARKS FAMILY MEDICINE LTD is a family medicine in Las Vegas, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SPARKS FAMILY MEDICINE LTD NPI is 1912003054. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

410 S RAMPART BLVD STE 390
LAS VEGAS, NV
ZIP 89145-749
Phone: (702) 722-2200
Fax: (702) 722-2201

The provider's authorized official is Brett W Sparks .
The authorized official title is Administrator and has the following contact phone number (702) 813-7701.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 12/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineP07-02616-B-102535NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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