Individual
JAMES HARRIS PARKS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3201 WEST HIGHWAY 22, CORSICANA, TX 75110
(903) 654-6812
Mailing address
3201 W HIGHWAY 22, CORSICANA, TX 75110-2450
(903) 654-6800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
230121
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588667-01
—
TX
Enumeration date
07/20/2006
Last updated
04/15/2014
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