Individual
DR. PAUL MARK PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8210 WALNUT HILL LN, SUITE 805, DALLAS, TX 75231-4405
(214) 691-6029
(214) 373-6857
Mailing address
8210 WALNUT HILL LN, SUITE 805, DALLAS, TX 75231-4405
(214) 691-6029
(214) 373-6857
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
F4354
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2864197007
CIGNA
TX
01
—
4074192
AETNA
TX
01
—
752296732001
PRUDENTIAL
TX
01
—
88T400
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/25/2006
Last updated
07/09/2007
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