Provider Demographics
NPI:1164427746
Name:PARRISH, JAMES M (PA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:PARRISH
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:STE 1824
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2735
Mailing Address - Country:US
Mailing Address - Phone:713-521-2825
Mailing Address - Fax:713-521-0397
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:STE 1824
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2735
Practice Address - Country:US
Practice Address - Phone:713-521-2825
Practice Address - Fax:713-521-0397
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA00524363AM0700X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Not Answered363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8N8294OtherBCBS INDIVIDUAL UNDER GRO
TX8D1169Medicare ID - Type UnspecifiedINDIVIDUAL UNDER GROUP
TXS61997Medicare UPIN