Provider Demographics
NPI:1225283187
Name:PARKER, DAWN
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 MORROW ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-1301
Mailing Address - Country:US
Mailing Address - Phone:512-451-3191
Mailing Address - Fax:512-451-8302
Practice Address - Street 1:608 MORROW ST
Practice Address - Street 2:SUITE 103
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1301
Practice Address - Country:US
Practice Address - Phone:512-451-3191
Practice Address - Fax:512-451-8302
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker