Vicki J Sparks, MD, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

E6215 Issued in TX

Legal business name

VICKI J SPARKS, MD, PC

Practice address

114 Southbridge St
Suite D
San Antonio, TX 78216-6264

Phone

(210) 340-2707

Fax

(210) 340-2746

NPI assigned

Sep 18, 2013

Last updated

Sep 18, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vicki Jean Sparks, MDNPI 1265536254

Title

Owner

Phone

(210) 340-2707

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vicki J Sparks, MD

  • General Practice Physician
  • San Antonio, TX
  • NPI 1265536254
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1033545363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SOUTHBRIDGE ST",
            "address_2": "SUITE D",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166264",
            "telephone_number": "210-340-2707",
            "fax_number": "210-340-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SOUTHBRIDGE ST",
            "address_2": "SUITE D",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166264",
            "telephone_number": "210-340-2707",
            "fax_number": "210-340-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI J SPARKS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-340-2707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "E6215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139217710",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vickers Corp. (ComForcare Senior Services-West Bexar County)
• Chanda Vickers
• Katherine Vickers, FNP
• Victoria A. Vickers, DDS
• Stanley Banks Vickhouse, PHARMD
• Vickie Jackson, PH.D., Inc
• Jacquelyn F Vickrey, MD
• Victor a Estrada MD PA
• Victor F. Alvarado (South Mall Optical)
• Victor I Lyday MD PA

• Primary Care Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.