Ceres Parker, OTA

NPI 1992412647 · on the registry since 2022

Practice

Address: 1900 E 15th St Ste 800b
Edmond, OK 73013
Phone: (405) 455-6868
Fax: (405) 562-3444
Organisation at this address: Lifecare Hospice, Llc
New Image Dentistry, Pc
Stewart Healthcare Enterprises, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 78

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-11-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma