Provider Demographics
NPI:1669771648
Name:ROBERT G PARKER DPM PC
Entity type:Organization
Organization Name:ROBERT G PARKER DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:281-497-2850
Mailing Address - Street 1:14441 MEMORIAL DR
Mailing Address - Street 2:SUITE #16
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-6744
Mailing Address - Country:US
Mailing Address - Phone:281-497-2850
Mailing Address - Fax:281-531-7910
Practice Address - Street 1:14441 MEMORIAL DR
Practice Address - Street 2:SUITE #16
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-6744
Practice Address - Country:US
Practice Address - Phone:281-497-2850
Practice Address - Fax:281-531-7910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0382213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0382OtherTX STATE BOARD OF PODIATRIC MEDICAL EXAMINERS LICENSE