Individual
WILLIE JOE PARKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
815 S FLEISHEL AVE, TYLER, TX 75701-2017
(903) 526-7977
(903) 526-7989
Mailing address
815 S FLEISHEL AVE, TYLER, TX 75701-2017
(903) 526-7977
(903) 526-7989
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0808586-01
—
TX
05
—
1113110-02
—
TX
05
—
1113110-03
—
TX
Enumeration date
11/15/2006
Last updated
03/25/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us