Provider Demographics
NPI:1740990266
Name:PEOPLES-PARKER LLC
Entity type:Organization
Organization Name:PEOPLES-PARKER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEOPLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-918-7191
Mailing Address - Street 1:11008 STATE HIGHWAY 154 E
Mailing Address - Street 2:
Mailing Address - City:DIANA
Mailing Address - State:TX
Mailing Address - Zip Code:75640-3712
Mailing Address - Country:US
Mailing Address - Phone:903-918-7191
Mailing Address - Fax:
Practice Address - Street 1:3940 BLUE RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75233-2402
Practice Address - Country:US
Practice Address - Phone:903-918-7191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage