Provider Demographics
NPI:1134491632
Name:PARRISH, PAUL (MD,)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:PARRISH
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 S PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-1902
Mailing Address - Country:US
Mailing Address - Phone:512-974-0208
Mailing Address - Fax:512-974-0222
Practice Address - Street 1:517 S PLEASANT VALLEY RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-1902
Practice Address - Country:US
Practice Address - Phone:512-974-0208
Practice Address - Fax:512-974-0222
Is Sole Proprietor?:No
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM33512083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine