Individual
DI LIN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3000
(817) 927-3958
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-2450
(817) 702-7315
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A125843
CA
207X00000X
Orthopaedic Surgery Physician
Primary
P3408
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337719401
—
TX
01
—
8EM801
BCBS
TX
01
—
A125843
CALIFORNIA MEDICAL LICENSE
CA
01
—
P01520170
RAILROAD MEDICARE
TX
01
—
P3408
TEXAS MEDICAL LICENSE
TX
Enumeration date
02/22/2012
Last updated
03/17/2018
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