MEDICARE: LINDA I PARKER MD PA

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		TX

General Provider Information

NPI Number	:	1558331413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDA I PARKER MD PA

Provider Business Mailing Address
First Line	:	311 N ALLEN DR
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-2539
Country	:	US
Telephone Number	:	972-727-8000
Fax Number	:	972-727-0842

Provider Business Practice Location Address
First Line	:	311 N ALLEN DR
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-2539
Country	:	US
Telephone Number	:	972-727-8000
Fax Number	:	972-727-0842

Authorized Official
Title or Position	:	SOLO PRACTITIONER 100 STOCKHOLDER
Name	:	LINDA IMOGENE PARKER
Credential	:	MD
Telephone Number	:	972-727-8000

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	10/02/2007

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