Provider Demographics
NPI:1942782198
Name:GASPAREK, SHEILA JEAN
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:JEAN
Last Name:GASPAREK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4612 LESTER DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-1111
Mailing Address - Country:US
Mailing Address - Phone:214-799-2181
Mailing Address - Fax:
Practice Address - Street 1:4612 LESTER DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-1111
Practice Address - Country:US
Practice Address - Phone:214-799-2181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX927370163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse