Provider Demographics
NPI:1265262349
Name:TURNER-PARKER, BIANCA NICOLE (DACM,LICAC,LMT)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:NICOLE
Last Name:TURNER-PARKER
Suffix:
Gender:F
Credentials:DACM,LICAC,LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5227 GEMSBUCK CHASE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4395
Mailing Address - Country:US
Mailing Address - Phone:210-251-1786
Mailing Address - Fax:
Practice Address - Street 1:21518 BLANCO RD STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-3380
Practice Address - Country:US
Practice Address - Phone:210-761-6379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT127199225700000X
TXAC02112171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist