Provider Demographics
NPI:1114273851
Name:PARKER, TARA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:TARA
Middle Name:ANN
Last Name:PARKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:54 SUGAR CREEK CENTER BLVD
Mailing Address - Street 2:STE. 100
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4064
Mailing Address - Country:US
Mailing Address - Phone:281-494-1690
Mailing Address - Fax:281-494-1691
Practice Address - Street 1:54 SUGAR CREEK CENTER BLVD
Practice Address - Street 2:STE. 100
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4064
Practice Address - Country:US
Practice Address - Phone:281-494-1690
Practice Address - Fax:281-494-1691
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor