Provider Demographics
NPI:1841288453
Name:PARRISH, DAVID JR (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:PARRISH
Suffix:JR
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 1:6100 HARRIS PKWY STE 1200
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-6107
Mailing Address - Country:US
Mailing Address - Phone:817-263-3724
Mailing Address - Fax:817-263-3787
Practice Address - Street 1:6100 HARRIS PKWY STE 1200
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-6107
Practice Address - Country:US
Practice Address - Phone:817-263-3724
Practice Address - Fax:817-263-3787
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4421207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1357196-01Medicaid
TX84984JOtherBLUE CROSS
TX110201650OtherRAIL ROAD MEDICARE
TX1357196-01Medicaid
TX83J625Medicare PIN
TXF76731Medicare UPIN