Individual
DR. TODD ALAN PARRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 NACOGDOCHES ST, SUITE 150, JACKSONVILLE, TX 75766-2462
(903) 586-6289
(903) 589-0748
Mailing address
612 N HIGH ST, SUITE A, HENDERSON, TX 75652-5914
(903) 657-1441
(903) 655-1442
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J7829
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U762
MCR GROUP
TX
01
—
0857690-01
MCD GROUP
TX
01
—
1040350
BLUE LINK
TX
05
—
166974901
—
TX
01
—
CC8386
RR MCR GROUP
TX
01
—
P00199785
RR MCR
TX
Enumeration date
07/20/2005
Last updated
03/07/2023
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