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NPI Code Detail

MEDICARE: JUAN PARRA MD

MEDICARE: JUAN PARRA MD
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
1208000000XPediatrics PhysicianH0714TX

General Provider Information

NPI Number : 1649289984
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUAN PARRA MD
Provider Business Mailing Address
First Line : 3750 COMMERCIAL AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78221-3117
Country : US
Telephone Number : 210-922-7000
Fax Number : 210-334-3774
Provider Business Practice Location Address
First Line : 3750 COMMERCIAL AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78221-3117
Country : US
Telephone Number : 210-922-7000
Fax Number : 210-334-3774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 03/06/2019

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Directions to “ JUAN PARRA MD” Practice Location

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