=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275889115
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MCPARLAND, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2012
-----------------------------------------------------
Last Update Date | 12/11/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1309 W FAIRMONT PKWY SUITE C
-----------------------------------------------------
City | LA PORTE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77571-6134
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-941-4357
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1309 W FAIRMONT PKWY SUITE C
-----------------------------------------------------
City | LA PORTE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77571-6134
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-989-6834
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PATRICK MCPARLAND
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 281-941-4357
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------