Provider Demographics
NPI:1124151790
Name:MCPARLAND, PATRICK (DDS)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:
Last Name:MCPARLAND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 W FAIRMONT PKWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:LA PORTE
Mailing Address - State:TX
Mailing Address - Zip Code:77571-6134
Mailing Address - Country:US
Mailing Address - Phone:281-989-6834
Mailing Address - Fax:
Practice Address - Street 1:1309 W FAIRMONT PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:LA PORTE
Practice Address - State:TX
Practice Address - Zip Code:77571-6134
Practice Address - Country:US
Practice Address - Phone:281-941-4357
Practice Address - Fax:281-941-9796
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX190821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1209470-17Medicaid