Individual
SHEA NICOLE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14201 E SAM HOUSTON PKWY N, HOUSTON, TX 77044
(281) 436-8999
Mailing address
308 WILLARD ST, HOUSTON, TX 77006-2144
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10688
TX
Other
Enumeration date
01/29/2011
Last updated
10/10/2018
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