Dr. Lavan R Parker III
Oral and Maxillofacial Surgeon
6501 Blanco Rd
San Antonio
, Texas 78216
Dr. Lavan R Parker III
Oral and Maxillofacial Surgeon
6501 Blanco Rd
San Antonio
, Texas 78216
(210) 341-2022
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Lavan R Parker III
- 6501 Blanco Rd
- San Antonio, TX
- Zip : 78216
- Fax : (210) 341-2022
- Phone : (210) 341-7264
Second Address
- Dr. Lavan R Parker III
- 6501 Blanco Rd
- San Antonio, TX
- Zip : 78216
- Fax : (210) 341-2022
- Phone : (210) 341-7264
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Is Dr. Lavan R Parker III a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 17827 | TX |
National Provider Identifier
| NPI | 1063491462 |
|---|---|
| Provider Name | Dr. Lavan R Parker III |
| First Address | San Antonio, TX 78216 |
| Second Address | San Antonio, TX 78216 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/01/2006 |
| Last Update Date | 26/01/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 151926601 | (05) | TX |
| 151926602 | (05) | TX |
| 151926603 | (05) | TX |
| 151926605 | (05) | TX |
| 151926606 | (05) | TX |
| 151926607 | (05) | TX |
| 151926608 | (05) | TX |
| 731009960006 | TRICARE (01) | |
| 80W704 | BCBS (01) | |
| 838355 | UNITED CONCORDIA (01) | |
| P00147516 | RAILROAD MEDICARE (01) | |
| U89966 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.