P Craig Parker, Md | |
47 Oaklawn Dr Covington LA 70433-4520 | |
(337) 991-9276 | |
(337) 943-0846 |
Full Name | P Craig Parker, Md |
---|---|
Speciality | Internal Medicine |
Location | 47 Oaklawn Dr, Covington, Louisiana |
Authorized Official Name and Position | Paul C Parker (OWNER) |
Authorized Official Contact | 3379919276 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
P Craig Parker, Md 1509 Dulles Dr Lafayette LA 70506-3718 Ph: (337) 991-9276 | P Craig Parker, Md 47 Oaklawn Dr Covington LA 70433-4520 Ph: (337) 991-9276 |
NPI Number | 1942539861 |
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Provider Enumeration Date | 12/24/2009 |
Last Update Date | 02/22/2019 |
Medicare PECOS PAC ID | 2769518372 |
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Medicare Enrollment ID | O20100407000029 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942539861 | NPI | - | NPPES |
1002038 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 015828 (Louisiana) | Primary |
Provider Name | Donna Jill Branton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700065570 PECOS PAC ID: 4880618040 Enrollment ID: I20060116000275 |
Provider Name | Paul Craig Parker |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659348647 PECOS PAC ID: 5597836346 Enrollment ID: I20080623000025 |
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