Individual
EDWARD L PARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6100 WINDHAVEN PKWY, PLANO, TX 75093-8046
(972) 378-0620
(972) 378-0630
Mailing address
6100 WINDHAVEN PKWY, PLANO, TX 75093-8046
(972) 378-0620
(972) 378-0630
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
M4908
TX
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
M4908
TX
207NS0135X
Procedural Dermatology Physician
M4908
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1377643
—
LA
01
—
8AD220
BC
—
01
—
P00473900
RAILROAD MEDICARE
—
Enumeration date
07/25/2006
Last updated
03/24/2021
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