Provider Demographics
NPI:1285692079
Name:PARKER, DARVIN C JR (MD)
Entity type:Individual
Prefix:DR
First Name:DARVIN
Middle Name:C
Last Name:PARKER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
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
Mailing Address - Country:US
Mailing Address - Phone:972-206-9476
Mailing Address - Fax:972-473-4614
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:972-206-9476
Practice Address - Fax:972-473-4614
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-02
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2771207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX030987401Medicaid
TX3226HMOtherBCBS
TX3226HMOtherBCBS
TXG53954Medicare UPIN
TX00721LMedicare PIN