Provider Demographics
NPI:1922058502
Name:PARSI, KIA E (MD)
Entity Type:Individual
Prefix:
First Name:KIA
Middle Name:E
Last Name:PARSI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 WOODSON DR
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:TX
Mailing Address - Zip Code:77836-1052
Mailing Address - Country:US
Mailing Address - Phone:979-567-7080
Mailing Address - Fax:979-567-9783
Practice Address - Street 1:1103 WOODSON DR
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:TX
Practice Address - Zip Code:77836-1052
Practice Address - Country:US
Practice Address - Phone:979-567-3245
Practice Address - Fax:979-567-9783
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6213207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX063545001Medicaid
TX096943803Medicaid
TXG58306Medicare UPIN
TX8D6904Medicare ID - Type Unspecified
TX063545001Medicaid