Individual
KAYLA MARIE PARRILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
928 N GLENWOOD BLVD, TYLER, TX 75702-5055
(903) 535-9041
(903) 533-0726
Mailing address
523 S FANNIN AVE, TYLER, TX 75702-8204
(903) 535-9041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
154443
IA
363LW0102X
Women's Health Nurse Practitioner
Primary
1029811
TX
Other
Enumeration date
07/13/2021
Last updated
04/03/2025
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