Provider Demographics
NPI:1508209081
Name:PARKER, AARON (MHPP)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:PARKER
Suffix:
Gender:M
Credentials:MHPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 PATTERSON RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72209-2430
Mailing Address - Country:US
Mailing Address - Phone:501-663-6771
Mailing Address - Fax:501-663-6458
Practice Address - Street 1:6100 PATTERSON RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-2430
Practice Address - Country:US
Practice Address - Phone:501-663-6771
Practice Address - Fax:501-663-6458
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator