Individual
SANDRA K PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-1116
(682) 885-4518
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-4157
(682) 885-1903
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
4704234735
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
832773
TX
Other
Enumeration date
09/25/2008
Last updated
05/06/2013
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