Parker Health and Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9903 Issued in TX

Legal business name

PARKER HEALTH AND CHIROPRACTIC PA

Practice address

3535 S Broadway Ave Ste a
Tyler, TX 75701-8740

Phone

(903) 581-5832

Fax

(903) 581-5786

NPI assigned

Apr 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Travis Earl Parker, D.C.NPI 1134157951

Title

President

Phone

(903) 581-5832

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis Earl Parker, D.C.

  • Chiropractor
  • Tyler, TX
  • NPI 1134157951
  Medicare reassignment NPD Authorized official
• Guy Christopher Parker

  • Chiropractor
  • Tyler, TX
  • NPI 1811848914
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164646154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 S BROADWAY AVE STE A",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018740",
            "telephone_number": "903-581-5832",
            "fax_number": "903-581-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S BROADWAY AVE STE A",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018740",
            "telephone_number": "903-581-5832",
            "fax_number": "903-581-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER HEALTH AND CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-581-5832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Place Tyler Healthcare, LLC (Park Place Nursing & Rehab)
• Alex Park, PHARM.D
• Dana Michael Park, M.D.
• Daniel Jun Park, M.D.
• Jung Won Park, DDS
• Barbara Parker
• Chanda Parker
• Chavaughna Parker
• Guy Christopher Parker
• Kristy Parker

• Chiropractor in Tyler, TX
• Providers in Tyler, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.