Provider Demographics
NPI:1184711772
Name:PARRA, CHARLES JESUS (DC)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:JESUS
Last Name:PARRA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1800 SNAKE RIVER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-7742
Mailing Address - Country:US
Mailing Address - Phone:281-829-6700
Mailing Address - Fax:281-829-6709
Practice Address - Street 1:1800 SNAKE RIVER RD
Practice Address - Street 2:SUITE A
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7742
Practice Address - Country:US
Practice Address - Phone:281-829-6700
Practice Address - Fax:281-829-6709
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11197111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor