Provider Demographics
NPI:1073618104
Name:SPARKMAN, CHRIS ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:ALAN
Last Name:SPARKMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:150 PINE FOREST DR STE 703
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-5317
Mailing Address - Country:US
Mailing Address - Phone:936-273-2016
Mailing Address - Fax:936-273-2018
Practice Address - Street 1:121 VISION PARK BLVD STE 110
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-3027
Practice Address - Country:US
Practice Address - Phone:936-224-4976
Practice Address - Fax:832-995-5874
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5571208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH95863Medicare UPIN