Parks, Thomas J
Parks, Thomas J is an individual health care provider with primary practice located at 14131 Midway Rd Suite 620, Addison TX 75001-3623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Parks, Thomas J can be contacted via phone (972) 249-0200.Contact Information
Primary practice address
14131 Midway Rd Suite 620
Addison TX 75001-3623
Phone: (972) 249-0200
Fax: (972) 249-0206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 23284 | Arizona |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | P7017 | Texas |
Profile Details
| NPI number | 1992796163 |
|---|---|
| LBN Legal business name | Parks, Thomas J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jul 23rd, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992796163 | NPPES |
| Arizona | Other | 250008547 | RR MEDICARE |
| Arizona | Other | 00G850000 | RR MEDICARE |
| Arizona | Other | AZ0818870 | RR MEDICARE |
| Arizona | Other | Z21067 | RR MEDICARE |
| Arizona | MEDICAID | 403387 | RR MEDICARE |
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