Frank M Parker IV, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT1311 Issued in TX

Practice address

201 Sandcrab Blvd
Port Lavaca, TX 77979-2424

Phone

(361) 551-2698

Fax

(361) 551-2638

NPI assigned

Oct 31, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1285910620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BONHAM ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792603",
            "telephone_number": "361-550-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SANDCRAB BLVD",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792424",
            "telephone_number": "361-551-2698",
            "fax_number": "361-551-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "FRANK",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT1311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Kay Nielsen, D.D.S.
• Tasha Norman, MSN, APRN, FNP-C
• Nra-Port Lavaca, Texas, LLC
• Bryce Allen O'Donnell, DDS
• Shanna Suzanne Odonnell, FNP
• Port Lavaca Anesthesia Group LLC
• Port Lavaca Clinic Associates PA
• Port Lavaca Dentistry PLLC
• Port Lavaca Smiles PLLC
• Priscilla Stephens

• Athletic Trainer in Port Lavaca, TX
• Providers in Port Lavaca, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.