Provider Demographics
NPI:1720392384
Name:PAUL J PARKEY, MDPA
Entity Type:Organization
Organization Name:PAUL J PARKEY, MDPA
Other - Org Name:DOWNTOWN MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OF PROFESSIONAL ASSOCIATI
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-322-5544
Mailing Address - Street 1:809 INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-6513
Mailing Address - Country:US
Mailing Address - Phone:940-322-5544
Mailing Address - Fax:940-322-5577
Practice Address - Street 1:809 INDIANA AVE
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-6513
Practice Address - Country:US
Practice Address - Phone:940-322-5544
Practice Address - Fax:940-322-5577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD3362207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD3362OtherTEXAS LICENSE
TX139818218Medicaid
TX139818218Medicaid