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Organization

PARKER SURGICAL PARTNERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTAY PARKER WHNP-BC, RNFA (OWNER/PROVIDER)
(817) 562-8577
Entity
Organization

Contact information

Practice address
717 W PARK DR, KELLER, TX 76248-2511
(817) 562-8577
Mailing address
717 W PARK DR, KELLER, TX 76248-2511

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
808428
TX
246ZC0007X
Surgical Assistant
SA00501
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
AP130426
TX

Other

Enumeration date
07/01/2016
Last updated
07/01/2016
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