Individual
JACOB TYLER PARRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 441-6722
Mailing address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 441-6722
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP145137
TX
Other
Enumeration date
02/29/2020
Last updated
06/30/2023
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