Provider Demographics
NPI:1912961384
Name:PARKER, CHRISTOPHER T R (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:T R
Last Name:PARKER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 BEE CAVES RD STE 201
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5366
Mailing Address - Country:US
Mailing Address - Phone:512-518-4992
Mailing Address - Fax:866-298-0735
Practice Address - Street 1:4701 BEE CAVES RD STE 201
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5366
Practice Address - Country:US
Practice Address - Phone:512-518-4992
Practice Address - Fax:866-298-0735
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6137207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX158026801Medicaid
TX8A7031Medicare PIN
TX158026801Medicaid
TXP00020185Medicare PIN