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NPI Code Detail

MEDICARE: SEAN G PARKER MD

MEDICARE: SEAN G PARKER MD
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
1207Q00000XFamily Medicine PhysicianK5372TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356399901
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN G PARKER MD
Provider Business Mailing Address
First Line : 5501 GORDON SMITH DR STE 500
Second Line :
City : ROWLETT
State : TX
Zip : 75089-3209
Country : US
Telephone Number : 214-703-8100
Fax Number : 214-703-3269
Provider Business Practice Location Address
First Line : 5501 GORDON SMITH DR STE 500
Second Line :
City : ROWLETT
State : TX
Zip : 75089-3209
Country : US
Telephone Number : 214-703-8100
Fax Number : 214-703-3269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 12/17/2014

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Directions to “ SEAN G PARKER MD” Practice Location

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