Provider Demographics
NPI:1275508764
Name:PARKS, HAROLD STEPHENSON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:STEPHENSON
Last Name:PARKS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:740 HOSPITAL DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4664
Mailing Address - Country:US
Mailing Address - Phone:409-212-8111
Mailing Address - Fax:409-981-1787
Practice Address - Street 1:740 HOSPITAL DR
Practice Address - Street 2:SUITE 300
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4664
Practice Address - Country:US
Practice Address - Phone:409-212-8111
Practice Address - Fax:409-981-1787
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2015-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE4039207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128414302Medicaid
TX89W152Medicare PIN
TX128414302Medicaid