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1194740597

NPI Code Detail

MEDICARE: DAVID R PARKER JR. MD

MEDICARE: DAVID R PARKER JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	H3136	TX
2	207Q00000X	Family Medicine Physician	H3136	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194740597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID R PARKER JR. MD

Provider Business Mailing Address
First Line	:	4541 N JOSEY LN STE 110
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4622
Country	:	US
Telephone Number	:	469-788-8588
Fax Number	:	469-788-7800

Provider Business Practice Location Address
First Line	:	4541 N JOSEY LN STE 110
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4622
Country	:	US
Telephone Number	:	469-788-8588
Fax Number	:	469-788-7800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	09/23/2024

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Directions to “ DAVID R PARKER JR. MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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