Individual
MR. TRAVIS RYAN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5765 BOZEMAN DR APT 2401, PLANO, TX 75024-5720
(469) 734-1490
Mailing address
5765 BOZEMAN DR APT 2401, PLANO, TX 75024-5720
(469) 734-1490
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
14364763
TX
172A00000X
Driver
Primary
872458653
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
872458653
TAX ID
TX
Enumeration date
04/05/2022
Last updated
04/05/2022
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