Provider Demographics
NPI:1023375680
Name:PARKER, MELISSA (CNIM)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 WATERVIEW PKWY STE 305
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-1472
Mailing Address - Country:US
Mailing Address - Phone:214-295-6703
Mailing Address - Fax:214-245-5267
Practice Address - Street 1:3400 WATERVIEW PKWY STE 305
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-1472
Practice Address - Country:US
Practice Address - Phone:214-295-6703
Practice Address - Fax:214-245-5267
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic