Individual
ROBERT D PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 WONDER WORLD DR., SUITE 201, SAN MARCOS, TX 78666-7502
(512) 805-7787
(512) 805-7789
Mailing address
1305 WONDER WORLD DR., SUITE 201, SAN MARCOS, TX 78666-7502
(512) 805-7787
(512) 805-7789
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1349
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018587801
—
TX
01
—
10032785
AMERIGROUP
—
Enumeration date
09/07/2005
Last updated
12/17/2010
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