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Individual

DR. OWEN STANLEY PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6476 S STATE HIGHWAY 16, FREDERICKSBURG, TX 78624-9473
(830) 456-6460
Mailing address
6476 S STATE HIGHWAY 16, FREDERICKSBURG, TX 78624-9473
(830) 456-6460

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H4033
TX
207R00000X
Internal Medicine Physician
H4033
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139503030
TX
Enumeration date
05/03/2006
Last updated
08/15/2022
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