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Individual
STEPHEN F PARKER
Active
Individual
STEPHEN F PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
596291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649261-03
—
TX
01
—
85699U
BCBS
TX
01
—
P00328461
RR MEDICARE
TX
Enumeration date
03/27/2006
Last updated
10/22/2013
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