Provider Demographics
NPI:1720892193
Name:PARKER WOODY DO PLLC
Entity type:Organization
Organization Name:PARKER WOODY DO PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PARKER
Authorized Official - Middle Name:WARNER
Authorized Official - Last Name:WOODY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:702-381-3735
Mailing Address - Street 1:10624 S EASTERN AVE STE A342
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2982
Mailing Address - Country:US
Mailing Address - Phone:702-381-3735
Mailing Address - Fax:210-761-3809
Practice Address - Street 1:6870 S RAINBOW BLVD STE 107
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-2107
Practice Address - Country:US
Practice Address - Phone:702-381-3735
Practice Address - Fax:210-761-3809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty