Provider Demographics
NPI:1316071657
Name:PARFREY, BRYAN S (MED,LAT,ATC)
Entity type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:S
Last Name:PARFREY
Suffix:
Gender:M
Credentials:MED,LAT,ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 CHARRING CROSS
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-5710
Mailing Address - Country:US
Mailing Address - Phone:972-491-9885
Mailing Address - Fax:
Practice Address - Street 1:900 COIT RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-5811
Practice Address - Country:US
Practice Address - Phone:972-867-0005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT10442255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer