Provider Demographics
NPI:1770790164
Name:PARRA, BEATRIZ ALICIA (MD)
Entity type:Individual
Prefix:DR
First Name:BEATRIZ
Middle Name:ALICIA
Last Name:PARRA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6316 SKYLARK CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-7848
Mailing Address - Country:US
Mailing Address - Phone:817-581-2707
Mailing Address - Fax:
Practice Address - Street 1:6316 SKYLARK CIR
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-7848
Practice Address - Country:US
Practice Address - Phone:817-782-4718
Practice Address - Fax:817-782-4602
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ3869207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ3869OtherMEDICAL LICENSE