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Individual

DR. DARREL WAYNE PARISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
4204 GARDENDALE, SUITE 205, SAN ANTONIO, TX 78229
(210) 614-1188
(210) 614-1188
Mailing address
4204 GARDENDALE, SUITE 205, SAN ANTONIO, TX 78229
(210) 614-1188
(210) 614-1188

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22398
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86752A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/27/2006
Last updated
05/27/2010
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