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NPI Code Detail

MEDICARE: DR. MARSHALL GLENN PARKER DC

MEDICARE:  DR. MARSHALL GLENN PARKER  DC
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
1111N00000XChiropractor2708TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1600972OTHERTXBLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1174524649
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARSHALL GLENN PARKER DC
Provider Business Mailing Address
First Line : 7642 PARK PLACE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77087-4526
Country : US
Telephone Number : 713-645-4191
Fax Number :
Provider Business Practice Location Address
First Line : 7642 PARK PLACE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77087-4526
Country : US
Telephone Number : 713-645-4191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/31/2008

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Directions to “ DR. MARSHALL GLENN PARKER DC” Practice Location

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