Parker, Michael James

Parker, Michael James is an individual health care provider with primary practice located at 1300 Circle Dr , Fort Worth TX 76119-8113. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Parker, Michael James can be contacted via phone (817) 569-4801.

Contact Information

Primary practice address
1300 Circle Dr Fort Worth TX 76119-8113
Phone: (817) 569-4801
Fax: (817) 569-4108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 31136 Texas

Profile Details

NPI number 1194156414
LBN Legal business name Parker, Michael James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2013
Last updated Jul 17th, 2014 - about 12 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 1194156414 NPPES
Texas MEDICAID 330146701
Texas Other 330146702
Texas Other 88933A

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