Provider Demographics
NPI:1033211487
Name:PARKHILL, DAVID WADE (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WADE
Last Name:PARKHILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 W SOUTHLAKE BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6190
Mailing Address - Country:US
Mailing Address - Phone:817-337-5199
Mailing Address - Fax:817-745-0998
Practice Address - Street 1:1135 KELLER PKWY
Practice Address - Street 2:#200
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248
Practice Address - Country:US
Practice Address - Phone:817-337-5199
Practice Address - Fax:817-745-0998
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6741111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G1800OtherBCBS
TX2815058OtherAETNA
TX2815058OtherAETNA
TX8G1800OtherBCBS