Basic Information
Provider Information
NPI: 1871105783
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARMAN
FirstName: AMBER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2122 PARKSIDE DR
Address2:  
City: DENTON
State: TX
PostalCode: 762010608
CountryCode: US
TelephoneNumber: 9403689606
FaxNumber:  
Practice Location
Address1: 3535 S I 35 E
Address2:  
City: DENTON
State: TX
PostalCode: 762106850
CountryCode: US
TelephoneNumber: 9403843535
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/21/2020
LastUpdateDate: 01/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/31/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XAP143986TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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