1861452906 NPI number — LEE PARSONS ONEACRE DDS

Table of content: DENISE MARIE ARBAB-ZADEH CRNA (NPI 1396964375)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861452906 NPI number — LEE PARSONS ONEACRE DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ONEACRE
Provider First Name:
LEE
Provider Middle Name:
PARSONS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861452906
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/17/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4323 NORTH JOSEY LANE
Provider Second Line Business Mailing Address:
# 103
Provider Business Mailing Address City Name:
CARROLLTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-394-2114
Provider Business Mailing Address Fax Number:
972-395-9704

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3700 FORUMS DRIVE
Provider Second Line Business Practice Location Address:
#203
Provider Business Practice Location Address City Name:
FLOWER MOUND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-539-1491
Provider Business Practice Location Address Fax Number:
972-539-3489
Provider Enumeration Date:
03/24/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223S0112X , with the licence number:  10830 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)