Provider Demographics
NPI:1639340359
Name:PARKER, AMY MUNROE (OD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MUNROE
Last Name:PARKER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:20119A HIGHWAY 59 N
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-2315
Mailing Address - Country:US
Mailing Address - Phone:281-446-5800
Mailing Address - Fax:281-446-3105
Practice Address - Street 1:20119A HIGHWAY 59 N
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-2315
Practice Address - Country:US
Practice Address - Phone:832-764-7809
Practice Address - Fax:281-955-9931
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-20
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7192T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist