Provider Demographics
NPI:1538115399
Name:PARKER, THOMAS GUY JR (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:GUY
Last Name:PARKER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1804 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-4414
Mailing Address - Country:US
Mailing Address - Phone:318-325-2610
Mailing Address - Fax:318-325-7715
Practice Address - Street 1:1804 N 7TH ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-4414
Practice Address - Country:US
Practice Address - Phone:318-325-2610
Practice Address - Fax:318-325-7715
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA022731207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA180041692OtherRAILROAD MEDICARE
LA1485349Medicaid
LA5H475Medicare ID - Type Unspecified