Provider Demographics
NPI:1700896412
Name:SPARROW, ALJ (MD)
Entity Type:Individual
Prefix:
First Name:ALJ
Middle Name:
Last Name:SPARROW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2925 GULF FWY S
Mailing Address - Street 2:SUITE B-110
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-6768
Mailing Address - Country:US
Mailing Address - Phone:832-477-0029
Mailing Address - Fax:
Practice Address - Street 1:250 BLOSSOM ST
Practice Address - Street 2:SUITE 120
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4204
Practice Address - Country:US
Practice Address - Phone:281-404-3161
Practice Address - Fax:281-724-9485
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2024-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ71842081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE62453Medicare UPIN