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Individual

MRS. AMY LEA PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2106 GRAND CAYMAN WAY, MESQUITE, TX 75149-5457
(972) 978-6602
Mailing address
2106 GRAND CAYMAN WAY, MESQUITE, TX 75149-5457
(972) 978-6602

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/19/2015
Last updated
08/19/2015
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