Provider Demographics
NPI:1942947098
Name:PARSONS, BRUCE ALAN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:ALAN
Last Name:PARSONS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 VISTA OAKS LN
Mailing Address - Street 2:
Mailing Address - City:ST PAUL
Mailing Address - State:TX
Mailing Address - Zip Code:75098-9037
Mailing Address - Country:US
Mailing Address - Phone:972-213-2783
Mailing Address - Fax:
Practice Address - Street 1:2402 VISTA OAKS LN
Practice Address - Street 2:
Practice Address - City:ST PAUL
Practice Address - State:TX
Practice Address - Zip Code:75098-9037
Practice Address - Country:US
Practice Address - Phone:972-571-7845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-18
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39032103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX39032OtherTEXAS LICENSURE