Provider Demographics
NPI:1881116267
Name:PARSONS, KAZIA LUCILLE (MD)
Entity type:Individual
Prefix:
First Name:KAZIA
Middle Name:LUCILLE
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 WALTON LN UNIT A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78721-3092
Mailing Address - Country:US
Mailing Address - Phone:512-566-4924
Mailing Address - Fax:142-936-8723
Practice Address - Street 1:1121 WALTON LN UNIT A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78721-3092
Practice Address - Country:US
Practice Address - Phone:512-566-4924
Practice Address - Fax:314-293-6872
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS6275207Q00000X
IN11019597A390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine