Provider Demographics
NPI:1295911097
Name:PARKER, LINDA I (MD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:I
Last Name:PARKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 E STACY RD STE 160
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-8846
Mailing Address - Country:US
Mailing Address - Phone:214-726-9098
Mailing Address - Fax:972-727-0842
Practice Address - Street 1:1650 E STACY RD STE 160
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-8846
Practice Address - Country:US
Practice Address - Phone:214-726-9098
Practice Address - Fax:972-727-0842
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0713207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXOOA46KMedicare PIN
TXC20205Medicare UPIN
TX299806YKP5Medicare PIN