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Organization
HILL COUNTRY FOOD DOCTOR
Active
Organization
HILL COUNTRY FOOD DOCTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D PARKER DPM (PRESIDENT)
(512) 805-7787
Entity
Organization
Contact information
Practice address
1320 WONDER WORLD DR, STE 107, SAN MARCOS, TX 78666-7557
(512) 805-7787
(205) 333-5550
Mailing address
1320 WONDER WORLD DR, STE 107, SAN MARCOS, TX 78666-7557
(512) 805-7787
(205) 333-5550
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1349
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018587801
—
TX
01
—
1972597953
NPI INDIVIDUAL
—
Enumeration date
04/11/2008
Last updated
04/11/2008
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