Organization
COMMUNITY CARE CONSORTIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS STERLING PARKER MD (MANAGER)
(512) 374-0401
Entity
Organization
Contact information
Practice address
10204 BIRDLIP CIR, AUSTIN, TX 78733-3415
(512) 374-0401
(512) 374-0409
Mailing address
10204 BIRDLIP CIR, AUSTIN, TX 78733-3415
(512) 374-0401
(512) 374-0409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
J2712
TX
207RC0000X
Cardiovascular Disease Physician
Primary
F1884
TX
2084P0800X
Psychiatry Physician
D9687
TX
208D00000X
General Practice Physician
B6359
TX
208D00000X
General Practice Physician
F1450
TX
Other
Enumeration date
07/16/2010
Last updated
05/25/2012
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