Individual
MR. JEREMY ALLEN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1892 W US HWY 290, FREDERICKSBURG, TX 78624-6644
(830) 304-1666
(830) 304-1665
Mailing address
1892 W US HWY 290, FREDERICKSBURG, TX 78624-6644
(830) 304-1666
(830) 304-1665
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06383
TX
Other
Enumeration date
07/06/2009
Last updated
03/11/2022
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