IndividualActive
Jacqueline Sparks
NPI 1003195793 · Community/Behavioral Health Agency · Willis, TX
Provider details
- NPI number
- 1003195793
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
12552 Canyon Hill Dr
Willis, TX 77318-4641
Phone: (936) 445-9141
Approximate (ZIP-level) locationGet directions
Mailing address
12552 Canyon Hill Dr
Willis, TX 77318-5742
Registry dates
- Enumerated
- 2011-08-11
- Last updated
- 2011-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.