Will J Parks Dds Md Pa

LBN: Will J Parks Dds Md Pa
Will J Parks Dds Md Pa is an health care organization with primary practice located at 815 S Fleishel Ave , Tyler TX 75701-2017. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Will J Parks Dds Md Pa can be contacted via phone (903) 526-7977, or through Parks, Will via phone (903) 526-7977.

Contact Information

Primary practice address
815 S Fleishel Ave Tyler TX 75701-2017
Phone: (903) 526-7977
Fax: (903) 526-7989
Website:
Map and Directions
Authorized official contact:
Name: Parks, Will
Phone: (903) 526-7977

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 17107 Texas

Profile Details

NPI number 1497054712
LBN Legal business name Will J Parks Dds Md Pa
DBA Doing business as
Authorized official Parks, Will
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2011
Last updated Mar 25th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497054712 NPPES
Texas MEDICAID 111311002

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