Provider Demographics
NPI:1902255664
Name:PARRA-GIL, ANGEL
Entity Type:Individual
Prefix:MR
First Name:ANGEL
Middle Name:
Last Name:PARRA-GIL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 JUBILATION DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-5419
Mailing Address - Country:US
Mailing Address - Phone:702-401-1300
Mailing Address - Fax:
Practice Address - Street 1:417 JUBILATION DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-5419
Practice Address - Country:US
Practice Address - Phone:702-401-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst