Provider Demographics
NPI:1023250289
Name:PARKER, RACHAEL LEE (HHA)
Entity type:Individual
Prefix:MISS
First Name:RACHAEL
Middle Name:LEE
Last Name:PARKER
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2044
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-4444
Mailing Address - Country:US
Mailing Address - Phone:214-402-1047
Mailing Address - Fax:
Practice Address - Street 1:779 STEVENS RD
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6760
Practice Address - Country:US
Practice Address - Phone:214-402-1047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007293172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker