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NPI Code Detail

MEDICARE: DR. JUSTIN MICHAEL PARKER D.C.

MEDICARE: DR. JUSTIN MICHAEL PARKER D.C.
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
1111N00000XChiropractor11389TX

General Provider Information

NPI Number : 1184946188
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTIN MICHAEL PARKER D.C.
Provider Business Mailing Address
First Line : PO BOX 64
Second Line :
City : SANTO
State : TX
Zip : 76472-0064
Country : US
Telephone Number : 214-649-4440
Fax Number :
Provider Business Practice Location Address
First Line : 911 CENTRAL PKWY N STE 300
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-5053
Country : US
Telephone Number : 210-381-3434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2010
Last Update Date : 05/01/2012

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