Provider Demographics
NPI:1104344571
Name:PARKER, CHRISTIANA LYNN (LAB TECH)
Entity type:Individual
Prefix:MISS
First Name:CHRISTIANA
Middle Name:LYNN
Last Name:PARKER
Suffix:
Gender:F
Credentials:LAB TECH
Other - Prefix:PROF
Other - First Name:CHRISTIANA
Other - Middle Name:LYNN
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHLEBOTOMIST
Mailing Address - Street 1:4611 ALAMOSA ST
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:TX
Mailing Address - Zip Code:76119-5908
Mailing Address - Country:US
Mailing Address - Phone:817-939-3117
Mailing Address - Fax:
Practice Address - Street 1:4611 ALAMOSA ST
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:TX
Practice Address - Zip Code:76119-5908
Practice Address - Country:US
Practice Address - Phone:817-939-3117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy