Tait, Joe Parker

Tait, Joe Parker is an sole proprietor health care provider with primary practice located at 1201 W Frank Ave , Lufkin TX 75904-3357. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Tait, Joe Parker can be contacted via phone (936) 639-7900.

Contact Information

Primary practice address
1201 W Frank Ave Lufkin TX 75904-3357
Phone: (936) 639-7900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 68603-02995 Louisiana
Nursing Service Providers / Registered Nurse 163W00000X 670098 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 47271 Texas

Profile Details

NPI number 1629059548
LBN Legal business name Tait, Joe Parker
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Nov 4th, 2022 - about 3 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 1629059548 NPPES
Texas MEDICAID 1687243

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