Individual
CAREY M PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
32698161
TX
367H00000X
Anesthesiologist Assistant
75000152A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103754481
ANTHEM PTAN
IN
Enumeration date
05/17/2022
Last updated
12/03/2024
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