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NPI Code Detail

MEDICARE: STEPHEN F PARKER CRNA

MEDICARE: STEPHEN F PARKER CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist596291TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00328461OTHERTXRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
385699UOTHERTXBCBS

General Provider Information

NPI Number : 1376503912
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN F PARKER CRNA
Provider Business Mailing Address
First Line : PO BOX 1547
Second Line :
City : SEDALIA
State : MO
Zip : 65302-1547
Country : US
Telephone Number : 660-826-5960
Fax Number : 660-826-4852
Provider Business Practice Location Address
First Line : 101 CIRCLE DR
Second Line :
City : HILLSBORO
State : TX
Zip : 76645-2670
Country : US
Telephone Number : 254-580-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 10/22/2013

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Directions to “ STEPHEN F PARKER CRNA” Practice Location

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