MEDICARE: TEXAS HEALTH PHYSICIANS GROUP

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	261QS1200X	Sleep Disorder Diagnostic Clinic/Center		TX

General Provider Information

NPI Number	:	1114395969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS HEALTH PHYSICIANS GROUP

Provider Business Mailing Address
First Line	:	2920 OAK PARK CIR STE 102
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-1853
Country	:	US
Telephone Number	:	972-506-7800
Fax Number	:	972-831-8015

Provider Business Practice Location Address
First Line	:	2920 OAK PARK CIR STE 102
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-1853
Country	:	US
Telephone Number	:	972-506-7800
Fax Number	:	972-831-8015

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SHAWN PARSLEY
Credential	:	DO
Telephone Number	:	682-236-6680

Provider Enumeration Date	:	09/10/2015
Last Update Date	:	05/24/2016

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