Provider Demographics
NPI:1558652867
Name:PARKER, SARA (DC)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6148 BRYANT IRVIN RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4119
Mailing Address - Country:US
Mailing Address - Phone:817-292-2200
Mailing Address - Fax:817-292-2248
Practice Address - Street 1:6148 BRYANT IRVIN RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4119
Practice Address - Country:US
Practice Address - Phone:817-292-2200
Practice Address - Fax:817-292-2248
Is Sole Proprietor?:No
Enumeration Date:2011-04-21
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11028111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor