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General NPI Number Information
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NPI Number | 1639923816
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Entity Type | Individual
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Provider Name | PARKER AARON LINSCOMB
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Gender | Male
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 925 CITY CENTRAL AVE
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City | CONROE
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State | TX
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Zip | 77304-2981
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Country | US
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Telephone | 936-202-5202
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 345
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City | MAURICEVILLE
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State | TX
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Zip | 77626-0345
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Country | US
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Telephone | 409-221-9539
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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