Individual
GRETA PARKS-HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
712 N WOOD ST, GILMER, TX 75644-1751
(800) 893-9698
Mailing address
200 CORPORATE BLVD, STE 201, LAFAYETTE, LA 70508-3870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J6130
TX
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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