MEDICARE: MANUEL PEREZ-PARRA LMSW

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	104100000X	Social Worker	117587	TX

General Provider Information

NPI Number	:	1053280834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANUEL PEREZ-PARRA LMSW

Provider Business Mailing Address
First Line	:	338 WAR EMBLEM LN
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75165-2325
Country	:	US
Telephone Number	:	903-484-6244
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 HAWKINS RUN RD STE 100
Second Line	:
City	:	MIDLOTHIAN
State	:	TX
Zip	:	76065-6639
Country	:	US
Telephone Number	:	214-530-2335
Fax Number	:

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

Provider Enumeration Date	:	10/31/2025
Last Update Date	:	10/31/2025

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