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General NPI Number Information
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NPI Number | 1215138599
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Entity Type | Organization
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Legal Business Name | THORNWELL H PARKER III M D P A
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8230 WALNUT HILL LN STE 808
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City | DALLAS
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State | TX
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Zip | 75231-4469
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Country | US
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Telephone | 214-696-8828
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Fax | 214-696-1444
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Provider Business Mailing Address
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Address Line | 8230 WALNUT HILL LN STE 808
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City | DALLAS
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State | TX
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Zip | 75231-4469
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Country | US
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Telephone | 214-696-8828
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Fax | 214-696-1444
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THORNWELL HAY PARKER III
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Credential | M.D.
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Telephone | 214-696-8828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | M4907
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | M4907
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License Number State | TX
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