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Organization

E RICHARD PARKER M D P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
E RICHARD PARKER M D (OWNER)
(512) 617-7500
Entity
Organization

Contact information

Practice address
4220 BULL CREEK RD, AUSTIN, TX 78731-6026
(512) 617-7500
(512) 323-9382
Mailing address
4220 BULL CREEK RD, AUSTIN, TX 78731-6026
(512) 617-7500
(512) 323-9382

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D6123
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00012RA
BC GROUP NUMBER
TX
Enumeration date
01/24/2008
Last updated
05/22/2008
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