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Individual
MR. TRAVIS RYAN PARKER
Active
Individual
MR. TRAVIS RYAN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
14364763
TX
172A00000X
Driver
Primary
872458653
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
872458653
TAX ID
TX
Enumeration date
04/05/2022
Last updated
04/05/2022
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