| Tasha L. Parker Llc | |
|
5517 Plaza Ln Wichita KS 67208-4154 | |
| (316) 202-8672 | |
| Not Available |
| Full Name | Tasha L. Parker Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 5517 Plaza Ln, Wichita, Kansas |
| Authorized Official Name and Position | Tasha Parker (OWNER/OPERATOR) |
| Authorized Official Contact | 3166509285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tasha L. Parker Llc 5517 Plaza Ln Wichita KS 67208-4154 Ph: (316) 650-9285 | Tasha L. Parker Llc 5517 Plaza Ln Wichita KS 67208-4154 Ph: (316) 202-8672 |
| NPI Number | 1285101311 |
|---|---|
| Provider Enumeration Date | 10/26/2018 |
| Last Update Date | 10/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285101311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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