Individual
DAVIS M PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
810 W HIGHWAY 71, MARBLE FALLS, TX 78654-8602
(830) 201-8900
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
751255
TX
Other
Enumeration date
09/30/2014
Last updated
01/02/2024
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