Provider Demographics
NPI:1346425915
Name:EDWARD LANSING PARRY MD PA
Entity Type:Organization
Organization Name:EDWARD LANSING PARRY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:PARRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-378-0620
Mailing Address - Street 1:6100 WINDHAVEN PKWY
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8046
Mailing Address - Country:US
Mailing Address - Phone:972-378-0620
Mailing Address - Fax:972-378-0630
Practice Address - Street 1:6100 WINDHAVEN PKWY
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8046
Practice Address - Country:US
Practice Address - Phone:972-378-0620
Practice Address - Fax:972-378-0630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4908207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DH1321OtherRAILROAD MEDICARE GROUP NUMBER
TX0037PSOtherBC/BS GROUP
TX00Y831Medicare PIN