Provider Demographics
NPI:1144212440
Name:PARSONS, DARRELL SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:DARRELL
Middle Name:SCOTT
Last Name:PARSONS
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 1:1220 W UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79764-7118
Mailing Address - Country:US
Mailing Address - Phone:432-332-6600
Mailing Address - Fax:432-332-8011
Practice Address - Street 1:1220 W UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79764-7118
Practice Address - Country:US
Practice Address - Phone:432-332-6600
Practice Address - Fax:432-332-8011
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9632207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH18982Medicare UPIN