Parker, Lisa D

Parker, Lisa D is an individual health care provider with primary practice located at 3840 Hulen St Htn, Client Accounting, Fort Worth TX 76107-7277. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Parker, Lisa D can be contacted via phone (817) 569-4396.

Contact Information

Primary practice address
3840 Hulen St Htn, Client Accounting Fort Worth TX 76107-7277
Phone: (817) 569-4396
Fax: (817) 569-4517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT07321 Texas

Profile Details

NPI number 1245412279
LBN Legal business name Parker, Lisa D
Credentials R.D., L.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2007
Last updated Jul 15th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245412279 NPPES
Texas Other 8X7944 BLUE CROSS BLUE SHIELD
Texas MEDICAID 196613701 BLUE CROSS BLUE SHIELD

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