Individual
DR. MARY VIRGINIA PARKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
BROOKE ARMY MEDICAL CENTER, 3851 ROGER BROOKE DRIVE, FORT SAM HOUSTON, TX 78234-6200
(210) 916-1174
(210) 916-0855
Mailing address
7102 BETHENCOURT, SAN ANTONIO, TX 78209-3407
(210) 822-3360
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35794
CO
Other
Enumeration date
10/21/2005
Last updated
07/08/2007
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