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NPI 1215499660

NPI 1215499660 : BRYCE WESLEY PARRISH DO : FORT WORTH, TX

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General NPI Number Information
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    NPI Number           |    1215499660
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    Entity Type          |    Individual 
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    Provider Name        |    BRYCE WESLEY PARRISH DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/04/2019
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    Last Update Date     |    06/16/2025
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Provider Practice Location Address
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    Address Line         |    1250 8TH AVE STE 135 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76104-4156
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    Country              |    US
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    Telephone            |    179-212-1538
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    Fax                  |    145-796-9932
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Provider Business Mailing Address
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    Address Line         |    1505 LBJ FWY STE 700 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75234-6065
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    Country              |    US
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    Telephone            |    214-358-2300
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    Fax                  |    214-579-6941
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    V8721
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    License Number State |    TX
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