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Physician Compare National (NPI:1972597953)

HEALTHCARE PROVIDER: ROBERT D PARKER

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1972597953
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3274744677
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101008000477
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PARKER
Individual professional last name
Provider First Name ROBERT
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 1995
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1305 WONDER WORLD DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 201
Group Practice or individual's line 2 address
City SAN MARCOS
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 786667502
Group Practice or individual's zip code (9 digits when available)
Phone Number 5128057787
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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