MEDICARE: DR. DAVID PHILLIP PARKER M.D.

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	207Q00000X	Family Medicine Physician	0101222052	VA
2	2083C0008X	Clinical Informatics Physician	0101222052	VA

General Provider Information

NPI Number	:	1255334983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID PHILLIP PARKER M.D.

Provider Business Mailing Address
First Line	:	5900 BALCONES DR # 11505
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4257
Country	:	US
Telephone Number	:	703-830-1845
Fax Number	:

Provider Business Practice Location Address
First Line	:	5900 BALCONES DR # 11505
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4257
Country	:	US
Telephone Number	:	703-830-1845
Fax Number	:

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

Provider Enumeration Date	:	05/26/2005
Last Update Date	:	12/18/2025

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