Individual
MR. FRANK M PARKER IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
201 SANDCRAB BLVD, PORT LAVACA, TX 77979-2424
(361) 551-2698
(361) 551-2638
Mailing address
104 BONHAM ST, PORT LAVACA, TX 77979-2603
(361) 550-3437
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1311
TX
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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