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Organization
PARKER INTEGRATED MEDICAL AND WELLNESS, PLLC.
Active
Organization
PARKER INTEGRATED MEDICAL AND WELLNESS, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL A SHEPHERD DC (OWNER)
(972) 212-5725
Entity
Organization
Contact information
Practice address
4709 W PARKER RD STE 440, PLANO, TX 75093-3369
(972) 212-5725
Mailing address
4709 W PARKER RD STE 440, PLANO, TX 75093-3369
(972) 212-5725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9480
STATE LICENSE
TX
Enumeration date
11/19/2021
Last updated
12/22/2021
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