Individual
DR. JOHN MATT PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3713 W 15TH ST, STE 402, PLANO, TX 75075
(972) 596-5900
(972) 596-1208
Mailing address
3713 W 15TH ST, STE 402, PLANO, TX 75075
(972) 596-5900
(972) 596-1208
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D7233
TX
207VM0101X
Maternal & Fetal Medicine Physician
D7233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115611901
—
TX
01
—
568522ZZN2
MEDICARE
TX
Enumeration date
08/09/2006
Last updated
04/08/2020
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