Willie Joe Parks Jr. is a Tyler, Texas based Oral and Maxillofacial Surgeon who is specialized in Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Willie Joe Parks Jr. is 17107 for Oral and Maxillofacial Surgery in Texas. His current practice location is 815 S Fleishel Ave, Tyler. Patients can reach him at 903-526-7977.
Willie Joe Parks Jr. deals with 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.
Complete Profile:
Willie Joe Parks Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Willie Joe Parks Jr.
Specialization:
Oral and Maxillofacial Surgeon
Gender:
Male
Credentials:
D.D.S., M.D.
Accepts Medicare Assignment:
No
Practice Address:
815 S Fleishel Ave, Tyler, Texas, 75701-2017
Phone:
903-526-7977
Fax:
903-526-7989
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1306918172
NPI Enumeration Date:
15 Nov, 2006
NPI Last Update On:
25 Mar, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Willie Joe Parks Jr. are as mentioned below.
License Number
Specialization
State
Status
17107
Oral and Maxillofacial Surgery
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Willie Joe Parks Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1113110-02
Medicaid
Texas
1113110-03
Medicaid
Texas
0808586-01
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
815 S Fleishel Ave, Tyler, Texas
Zip:
75701-2017
Phone Number:
903-526-7977
Fax Number:
903-526-7989
Patients can reach Willie Joe Parks Jr. at 815 S Fleishel Ave, Tyler, Texas or can call to book an appointment on 903-526-7977. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.