Provider Demographics
NPI:1548574684
Name:DARVIN C. PARKER, JR., MD, PA
Entity Type:Organization
Organization Name:DARVIN C. PARKER, JR., MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARVIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:972-668-7460
Mailing Address - Street 1:5960 W PARKER RD
Mailing Address - Street 2:STE 278 #150
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7767
Mailing Address - Country:US
Mailing Address - Phone:972-668-7460
Mailing Address - Fax:972-668-7467
Practice Address - Street 1:5960 W PARKER RD
Practice Address - Street 2:STE 278 #150
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7767
Practice Address - Country:US
Practice Address - Phone:972-668-7460
Practice Address - Fax:972-668-7467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2771207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty