Provider Demographics
NPI:1689019747
Name:PARKER PLACE PROPERTY OWNERS ASSOIATION INC
Entity type:Organization
Organization Name:PARKER PLACE PROPERTY OWNERS ASSOIATION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LORNIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-272-5800
Mailing Address - Street 1:10914 BRIDLEPARK CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-1890
Mailing Address - Country:US
Mailing Address - Phone:832-272-5800
Mailing Address - Fax:281-449-3230
Practice Address - Street 1:10914 BRIDLEPARK CIR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-1890
Practice Address - Country:US
Practice Address - Phone:832-272-5800
Practice Address - Fax:281-449-3230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014562251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX215219102Medicaid
TXTXB107919OtherMEDICARE
TX215219101Medicaid
TX215219103Medicaid