Provider Demographics
NPI:1447228713
Name:PARISI, MICHAEL J (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:PARISI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 MEDICAL CENTER DR
Mailing Address - Street 2:STE 200
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-6800
Mailing Address - Country:US
Mailing Address - Phone:972-547-6738
Mailing Address - Fax:
Practice Address - Street 1:4501 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-6801
Practice Address - Country:US
Practice Address - Phone:972-547-0352
Practice Address - Fax:972-542-3528
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3381207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113664006Medicaid
TX113664007Medicaid
TXP00645116Medicare PIN
TX8F8415Medicare PIN
TXI60854Medicare UPIN
TX113664006Medicaid
TX113664007Medicaid