Shawntay Sparks is one of 47 nurse practitioners practicing in Mineral Wells, Texas .
Shawntay Sparks practices with Concord Medical Group Of Texas PLLC, Concord Medical Group PLLC, and Providence Health Alliance.
Registry record (NPPES)
NPI
1144899741
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Address on file
400 SW 25th Ave
Enumerated
Jun 18, 2021
Record last updated
Jun 18, 2021
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
400 SW 25th AveMineral Wells , TX 76067
301 Richland W Cir Providence Internal Medicine ClinicWaco , TX 76712
340 Richland W Cir Ascension Medical Group ProvidenceWaco , TX 76712
342 Richland W CirWaco , TX 76712
405 Londonderry DrWaco , TX 76712
More nurse practitioners in Mineral Wells
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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