Healthcare Provider Details

I. General information

NPI: 1598096893
Provider Name (Legal Business Name): THOMAS RICHARD PARSONS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2010
Last Update Date: 01/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6003 88TH PL
LUBBOCK TX
79424-0800
US

IV. Provider business mailing address

PO BOX 64813
LUBBOCK TX
79464-4813
US

V. Phone/Fax

Practice location:
  • Phone: 806-790-9611
  • Fax: 806-698-0917
Mailing address:
  • Phone: 806-790-9611
  • Fax: 806-698-0917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License NumberN3231
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License NumberME79278
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License Number38580
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License Number31797
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: