Provider Demographics
NPI:1417544685
Name:PARKER, TOKIKO H (RDN, LD)
Entity Type:Individual
Prefix:MRS
First Name:TOKIKO
Middle Name:H
Last Name:PARKER
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 CROSS BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-2848
Mailing Address - Country:US
Mailing Address - Phone:210-724-7561
Mailing Address - Fax:
Practice Address - Street 1:812 CROSS BRANCH DR
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-2848
Practice Address - Country:US
Practice Address - Phone:210-724-7561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT07287133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX19082175OtherDRIVER LICENSE