Active NPI
Paul Mark Parker, M.D.
- Physical Medicine & Rehabilitation Physician
- Dallas, TX
National Provider Identifier
1598873192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- F4354
- Practice address
- 8210 Walnut Hill LN
Suite 805
Dallas, TX 75231-4405 - Phone
- (214) 691-6029
- Fax
- (214) 373-6857
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | F4354 | TX | Primary |
Addresses
Primary practice location
8210 Walnut Hill LN
Suite 805
Dallas, TX 75231-4405
Mailing address
8210 Walnut Hill LN
Suite 805
Dallas, TX 75231-4405
Phone (214) 691-6029
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2864197007 | Other | TX | CIGNA |
| 4074192 | Other | TX | AETNA |
| 88T400 | Other | TX | BLUE CROSS BLUE SHIELD |
| 752296732001 | Other | TX | PRUDENTIAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F4354 | TX | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1598873192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8210 WALNUT HILL LN",
"address_2": "SUITE 805",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314405",
"telephone_number": "214-691-6029",
"fax_number": "214-373-6857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8210 WALNUT HILL LN",
"address_2": "SUITE 805",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314405",
"telephone_number": "214-691-6029",
"fax_number": "214-373-6857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "PAUL",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "F4354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2864197007",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4074192",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "88T400",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRUDENTIAL",
"identifier": "752296732001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.