Parcells, Jeremy Patrick

Parcells, Jeremy Patrick is an individual health care provider with primary practice located at 2975 E Broad St Ste 200 , Mansfield TX 76063-9147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Parcells, Jeremy Patrick can be contacted via phone (682) 518-8619.

Contact Information

Primary practice address
2975 E Broad St Ste 200 Mansfield TX 76063-9147
Phone: (682) 518-8619
Fax: (682) 518-8195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 6847 Nebraska
Allopathic & Osteopathic Physicians / Surgery 208600000X P7967 Texas

Profile Details

NPI number 1831393412
LBN Legal business name Parcells, Jeremy Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Nov 4th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831393412 NPPES
Texas MEDICAID 332557301
Texas Other 6847
Texas Other 3870853755
Texas Other P7967

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