Provider Demographics
NPI:1306363114
Name:PARKER, CELESTE ANN (EDD, BCN)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:ANN
Last Name:PARKER
Suffix:
Gender:F
Credentials:EDD, BCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 MISSION DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6659
Mailing Address - Country:US
Mailing Address - Phone:210-800-1111
Mailing Address - Fax:281-925-0648
Practice Address - Street 1:70 MISSION DR
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6659
Practice Address - Country:US
Practice Address - Phone:210-800-1111
Practice Address - Fax:281-925-0648
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEG