MEDICARE: DAVID PARRISH JR. MD

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
1	207RC0000X	Cardiovascular Disease Physician	J4421	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110201650	OTHER	TX	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	84984J	OTHER	TX	BLUE CROSS

General Provider Information

NPI Number	:	1841288453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID PARRISH JR. MD

Provider Business Mailing Address
First Line	:	6100 HARRIS PKWY STE 1200
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-6107
Country	:	US
Telephone Number	:	817-263-3724
Fax Number	:	817-263-3787

Provider Business Practice Location Address
First Line	:	6100 HARRIS PKWY STE 1200
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-6107
Country	:	US
Telephone Number	:	817-263-3724
Fax Number	:	817-263-3787

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	03/01/2022

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Directions to “ DAVID PARRISH JR. MD” Practice Location

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