Individual provider · Type 1 NPI

Charles Russell Sparenberg, MD

Plastic and Reconstructive Surgery Physician · Plano, TX

NPI number 1205911401 Active

Practice location

3900 W 15th St, #106
Plano, TX 75075-7751

Fax (972) 867-3182

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000XC9674 (TX)
Plastic and Reconstructive Surgery Physician Primary 2086S0122XC9674 (TX)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1205911401

Charles Russell Sparenberg, MD's National Provider Identifier is 1205911401, issued on Oct 26, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Plano, TX. The record was last updated on May 2, 2016.