Individual
HEATHER PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10516 SHADYWOOD DR, FORT WORTH, TX 76140-5462
(817) 688-2522
Mailing address
10516 SHADYWOOD DR, FORT WORTH, TX 76140-5462
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
880765
TX
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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