Provider Demographics
NPI:1255334983
Name:PARKER, DAVID PHILLIP (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PHILLIP
Last Name:PARKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5900 BALCONES DR # 11505
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4257
Mailing Address - Country:US
Mailing Address - Phone:703-830-1845
Mailing Address - Fax:
Practice Address - Street 1:9714 BARLOW RD
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-3503
Practice Address - Country:US
Practice Address - Phone:703-261-3947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-26
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101222052207Q00000X, 2083C0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083C0008XAllopathic & Osteopathic PhysiciansPreventive MedicineClinical Informatics
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine