Provider Demographics
NPI:1851630982
Name:PARKER, TABATHA SUE (ND)
Entity Type:Individual
Prefix:DR
First Name:TABATHA
Middle Name:SUE
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 1:2166 E SETTLERS WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1431
Mailing Address - Country:US
Mailing Address - Phone:310-623-0050
Mailing Address - Fax:
Practice Address - Street 1:2166 E SETTLERS WAY
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-1431
Practice Address - Country:US
Practice Address - Phone:310-623-0050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-08
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath