Organization Name: | MICHAEL P. PARKER, M.D., P.A. |
NPI Number: | 1053551275 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKEL CHAMBLEE (CHIEF OPERATIONS OFFICER) |
Mailing Address: | 119 S Highway 342 Ste 401 Red Oak |
State: | TX US |
Postal Code: | 751546406 |
Phone Number: | 9726177100 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2009 |
NPI Last Update Date: | 08/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | G3049 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |