Individual
DR. JACK ANTHONY THOMAS PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
(512) 324-0000
Mailing address
1601 TRINITY ST STOP Z0200, AUSTIN, TX 78712-1850
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
47321
TX
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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