MEDICARE: MRS. LATONYA RENEE PARKER NP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	8871	MN
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1017264	TX

General Provider Information

NPI Number	:	1780293704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LATONYA RENEE PARKER NP

Provider Business Mailing Address
First Line	:	104 WHISPERING PINES AVE
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-4911
Country	:	US
Telephone Number	:	713-429-5325
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 PRESTON AVE STE 150
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77505-2062
Country	:	US
Telephone Number	:	713-429-5325
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2020
Last Update Date	:	04/21/2025

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