Individual
JASON D PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0200
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E-4029
AR
207LP2900X
Pain Medicine (Anesthesiology) Physician
E-4029
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04080019000
QUAL CHOICE (LRPM)
AR
05
—
152996001
—
AR
01
—
171973300
US DEPT. OF LABOR OWCP
AR
01
—
5M840
BLUE CROSS BLUE SHIELD
AR
01
—
71033532430
QUAL CHOICE
AR
01
—
770278301
ARKANSAS BREASTCARE
AR
01
—
P00163581
RAILROAD MEDICARE
AR
01
—
S02080
NOVASYS
AR
Enumeration date
09/27/2005
Last updated
01/06/2021
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