Provider Demographics
NPI:1558940031
Name:PARKER, TRENA (ND)
Entity Type:Individual
Prefix:DR
First Name:TRENA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 SHERMAN DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76543-3244
Mailing Address - Country:US
Mailing Address - Phone:254-813-3897
Mailing Address - Fax:254-213-4105
Practice Address - Street 1:2003 SHERMAN DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-3244
Practice Address - Country:US
Practice Address - Phone:254-813-3897
Practice Address - Fax:254-213-4105
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-03
Last Update Date:2021-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath