Individual
MR. CLIFF C PARKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
453 LEISURE DR, CEDAR HILL, TX 75104-3115
(214) 394-7296
(972) 291-7340
Mailing address
453 LEISURE DR, CEDAR HILL, TX 75104-3115
(214) 394-7296
(972) 291-7340
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4593940001
SUPPLIER NUMBER
TX
Enumeration date
01/30/2006
Last updated
07/08/2007
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