Provider Demographics
NPI:1457513954
Name:PARKER & CHAMBLEE LLC
Entity Type:Organization
Organization Name:PARKER & CHAMBLEE LLC
Other - Org Name:RED OAK URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-617-7100
Mailing Address - Street 1:119 S HIGHWAY 342
Mailing Address - Street 2:SUITE 401
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-6419
Mailing Address - Country:US
Mailing Address - Phone:972-617-7100
Mailing Address - Fax:972-692-7007
Practice Address - Street 1:119 S HIGHWAY 342
Practice Address - Street 2:SUITE 401
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-6419
Practice Address - Country:US
Practice Address - Phone:972-617-7100
Practice Address - Fax:972-692-7007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG30449207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty