Individual
MR. ANTHONY RAY PARKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 BALLARD LOOP, OPELOUSAS, LA 70570
(318) 789-9190
Mailing address
208 BELLARD LOOP, OPELOUSAS, LA 70570-2454
(318) 789-9190
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110630914
—
LA
Enumeration date
11/06/2018
Last updated
11/06/2018
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