Provider Demographics
NPI:1366630923
Name:WENDELL PARKEY,M.D.
Entity Type:Organization
Organization Name:WENDELL PARKEY,M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDELL
Authorized Official - Middle Name:W
Authorized Official - Last Name:PARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:432-758-1155
Mailing Address - Street 1:207 NW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:TX
Mailing Address - Zip Code:79360-3447
Mailing Address - Country:US
Mailing Address - Phone:432-758-1155
Mailing Address - Fax:432-758-4740
Practice Address - Street 1:207 NW 8TH ST
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:TX
Practice Address - Zip Code:79360-3447
Practice Address - Country:US
Practice Address - Phone:432-758-1155
Practice Address - Fax:432-758-4740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0051BSOtherBLUE CROSS AND BLUE SHIELD OF TEXAS
TX113556804OtherMEDICAID HEALTHSTEPS
TX113556804Medicaid
TX121036104OtherFIRSTCARE
TX112902OtherSUPERIOR CHIPS
TX1133556803Medicaid
TX113556804Medicaid
TX112902OtherSUPERIOR CHIPS