| Mr Douglas Ray Sparks, CRNA | |
|
2201 Clear Creek Rd, Killeen, TX 76549-4110 | |
| (254) 724-2111 | |
| Not Available |
| Full Name | Mr Douglas Ray Sparks |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 2201 Clear Creek Rd, Killeen, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619024379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP116234 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Central Texas | Killeen, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergenchealth Pllc | 1355606641 | 666 |
| Northstar Anesthesia Pa | 7315907128 | 202 |
| Entity Name | Northstar Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
| Entity Name | Northstar Anesthesia Ii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Douglas Ray Sparks, CRNA Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Mr Douglas Ray Sparks, CRNA 2201 Clear Creek Rd, Killeen, TX 76549-4110 Ph: (254) 724-2111 |
Melizza Saenz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3800 S W S Young Dr Ste 201, Killeen, TX 76542 Phone: 254-245-9175 Fax: 254-213-7771 | |
Michael Mwasumbi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 S Clear Creek Rd, Killeen, TX 76549 Phone: 254-526-7523 Fax: 254-724-8572 | |
Kristi L Lefrere, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Clear Creek Rd, Killeen, TX 76549 Phone: 254-526-7523 | |
Detonya Necol Tulsie, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2201 S Clear Creek Rd, Killeen, TX 76549 Phone: 254-724-2111 | |
Mr. Jeffrey Wayne Albritton, MSN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3800 S W S Young Dr Ste 201, Killeen, TX 76542 Phone: 254-245-9175 Fax: 254-213-7771 | |
Tammy A Laughlin, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 S Clear Creek Rd, Killeen, TX 76549 Phone: 254-526-7523 | |
Cody Chachere, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Clear Creek Rd, Killeen, TX 76549 Phone: 254-526-7523 |