Provider Demographics
NPI:1528491560
Name:PARILLA, VICTORIANO BAYOBAY (RN, BSN, RNFA)
Entity type:Individual
Prefix:
First Name:VICTORIANO
Middle Name:BAYOBAY
Last Name:PARILLA
Suffix:
Gender:M
Credentials:RN, BSN, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 ROUNDROCK LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76140-6547
Mailing Address - Country:US
Mailing Address - Phone:817-886-3466
Mailing Address - Fax:
Practice Address - Street 1:412 ROUNDROCK LN
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76140-6547
Practice Address - Country:US
Practice Address - Phone:817-886-3466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX775276163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant