Dr. Charles Russell Sparenberg
Surgeon Plastic and Reconstructive Surgery
3900 W 15th St #106
Plano
, Texas 75075-7751
Dr. Charles Russell Sparenberg
Surgeon Plastic and Reconstructive Surgery
3900 W 15th St #106
Plano
, Texas 75075-7751
(972) 867-3182
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About
Features
Specialties
- Surgeon
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Charles Russell Sparenberg
- 3900 W 15th St #106
- Plano, TX
- Zip : 75075-7751
- Fax : (972) 867-3182
- Phone : (972) 867-2522
Second Address
- Dr. Charles Russell Sparenberg
- 3900 W 15th St #106
- Plano, TX
- Zip : 75075-7751
- Fax : (972) 867-3182
- Phone : (972) 867-2522
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | C9674 | TX |
| N | 208600000X | Surgeon | C9674 | TX |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | C9674 | TX |
National Provider Identifier
| NPI | 1205911401 |
|---|---|
| Provider Name | Dr. Charles Russell Sparenberg |
| First Address | Plano, TX 75075-7751 |
| Second Address | Plano, TX 75075-7751 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2006 |
| Last Update Date | 02/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B26594 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.