Provider Demographics
NPI:1811197668
Name:PARKER, GEORGE WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:WAYNE
Last Name:PARKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0853
Mailing Address - Country:US
Mailing Address - Phone:972-233-1999
Mailing Address - Fax:972-233-3666
Practice Address - Street 1:1500 CITYWEST BLVD
Practice Address - Street 2:STE. 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042
Practice Address - Country:US
Practice Address - Phone:713-620-4000
Practice Address - Fax:713-458-4229
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6818207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX188507102Medicaid
TXP00441170OtherRAILROAD MEDICARE
TX8AA441OtherBLUE CROSS ID
LA1793051OtherMEDICAID - GHA
TX188507101Medicaid
TX8AV566OtherBLUE CROSS - NORTH CYPRESS ANESTHESIOLOGY ASSOC.
TXP00688285OtherRAILROAD MEDICARE NORTH CYPRESS ANESTHESIOLOGY ASSOCIATES
TX8K7173Medicare PIN
TX8AA441OtherBLUE CROSS ID
TX8K0145Medicare PIN