Provider Demographics
NPI:1134250756
Name:PARR, THOMAS JACKSON (MD,)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JACKSON
Last Name:PARR
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 1:14090 SOUTHWEST FWY STE 130
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3683
Mailing Address - Country:US
Mailing Address - Phone:281-491-7111
Mailing Address - Fax:281-491-0033
Practice Address - Street 1:14090 SOUTHWEST FWY STE 130
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3683
Practice Address - Country:US
Practice Address - Phone:281-491-7111
Practice Address - Fax:281-491-0033
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE4588207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG20231Medicare UPIN
TX88W131Medicare ID - Type UnspecifiedPHYSICIAN MEDICARE PROVID