Individual
MS. SANDRA ELLEN PARKS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-1086
Mailing address
4506 TAMARACK TRL, AUSTIN, TX 78727-2857
(512) 255-3383
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
519662
TX
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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