MEDICARE: JAMES M PARRISH P.A.

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	363AM0700X	Medical Physician Assistant	PA00524	TX
2	363AS0400X	Surgical Physician Assistant	PA00524	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8N8294	OTHER	TX	BCBS INDIVIDUAL UNDER GRO

General Provider Information

NPI Number	:	1164427746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES M PARRISH P.A.

Provider Business Mailing Address
First Line	:	6560 FANNIN ST
Second Line	:	STE 1824
City	:	HOUSTON
State	:	TX
Zip	:	77030-2735
Country	:	US
Telephone Number	:	713-521-2825
Fax Number	:	713-521-0397

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST
Second Line	:	STE 1824
City	:	HOUSTON
State	:	TX
Zip	:	77030-2735
Country	:	US
Telephone Number	:	713-521-2825
Fax Number	:	713-521-0397

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	09/11/2025

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