# PAUL CRAIG PARKER, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306933965
- **Authorized official:** MRS. DIANE LYNN WALKER (OFFICE MANAGERT)
- **Authorized official phone:** (985) 893-1070

## Contact information

- **Practice address:** 101 E FAIRWAY DR, SUITE 402, COVINGTON, LA 70433-7503
- **Practice address phone:** (985) 893-1070
- **Practice address fax:** (985) 893-1083
- **Mailing address:** 101 E FAIRWAY DR, SUITE 402, COVINGTON, LA 70433-7503
- **Mailing address phone:** (985) 893-1070
- **Mailing address fax:** (985) 893-1083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 015828 | LA | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 08/22/2020