| 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 | This clinic does not participate in Medicare Program. |
| 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 |
|---|---|
| Provider Enumeration Date | 12/24/2009 |
| Last Update Date | 02/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942539861 | NPI | - | NPPES |
| 1002038 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 015828 (Louisiana) | Primary |
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