Individual
MR. GEORGE ROBERT PARKER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
717 W PARK DR, KELLER, TX 76248-2511
(817) 733-9968
Mailing address
717 W PARK DR, KELLER, TX 76248-2511
(817) 733-9968
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045YL
BCBS
TX
Enumeration date
08/07/2013
Last updated
08/22/2015
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