Individual
MRS. TRACI LAFAYE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
2807 W PRAIRIE CREEK DR, RICHARDSON, TX 75080-2028
(972) 268-3188
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AP143279
TX
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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