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NPI Code Detail

MEDICARE: MRS. MAKESHA DOYAN HOFFMAN PARRISH M.A.,L.P.C.-I

MEDICARE: MRS. MAKESHA DOYAN HOFFMAN PARRISH M.A.,L.P.C.-I
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor66046TX

General Provider Information

NPI Number : 1023340544
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAKESHA DOYAN HOFFMAN PARRISH M.A.,L.P.C.-I
Provider Business Mailing Address
First Line : 5501 MEDICAL PARKWAY DR
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-4624
Country : US
Telephone Number : 903-793-8588
Fax Number : 903-793-8589
Provider Business Practice Location Address
First Line : 5501 MEDICAL PARKWAY DR
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-4624
Country : US
Telephone Number : 903-793-8588
Fax Number : 903-793-8589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2010
Last Update Date : 02/09/2010

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