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Individual

CASEY PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3025 N TARRANT PKWY STE 140, FORT WORTH, TX 76177-8625
(877) 314-8990
Mailing address
3025 N TARRANT PKWY STE 140, FORT WORTH, TX 76177-8625

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17055
TX
363A00000X
Physician Assistant

Other

Enumeration date
01/04/2024
Last updated
03/13/2024
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