Willie Joe Parks in Tyler - Oral And Maxillofacial Surgery
Willie Joe Parks - NPI 1306918172
Willie Joe Parks is a Oral And Maxillofacial Surgery in Tyler, Texas. Willie Joe Parks practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Willie Joe Parks is 1306918172. The last update date is 2011-03-25.
Willie Joe Parks's current location address is 815 S Fleishel Ave, Tyler, Texas. You can contact this provider via phone number 9035267977 and fax number 9035267989. The mailing address for Willie Joe Parks is 815 S Fleishel Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willie Joe Parks |
|---|---|
| Address | 815 S Fleishel Ave, Tyler, Texas |
| Phone Number | 9035267977 |
| Fax Number | 9035267989 |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1306918172 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2011-03-25 |
Provider Mailing Address Detail
| Address | 815 S Fleishel Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757012017 |
| Phone Number | 9035267977 |
| Fax Number | 9035267989 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 17107 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1113110-02 | TX | -- | |
| 1113110-03 | TX | -- | |
| 0808586-01 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Willie Joe Parks by the Centers for Medicare & Medicaid Services?
The Willie Joe Parks has been assigned the NPI (National Provider Identifier) 1306918172 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Willie Joe Parks is geographically located?
The Willie Joe Parks is physically situated at the following location: 815 S Fleishel Ave, Tyler, TX, 757012017.
What is Willie Joe Parks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Willie Joe Parks is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306918172 to Willie Joe Parks?
The Willie Joe Parks received its 1306918172 assignment from the Centers for Medicare & Medicaid Services on 2006-11-15.
When was the information related to Willie Joe Parks most recently updated or refreshed?
The details pertaining to the Willie Joe Parks, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-03-25.