Provider Demographics
NPI:1386614766
Name:PARIS FAMILY PHYSICIANS,PA
Entity type:Organization
Organization Name:PARIS FAMILY PHYSICIANS,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:RAST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-785-4362
Mailing Address - Street 1:1128 CLARKSVILLE ST
Mailing Address - Street 2:STE. 100
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-6060
Mailing Address - Country:US
Mailing Address - Phone:903-785-4362
Mailing Address - Fax:903-782-9365
Practice Address - Street 1:1128 CLARKSVILLE ST
Practice Address - Street 2:STE. 100
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-6060
Practice Address - Country:US
Practice Address - Phone:903-669-0800
Practice Address - Fax:903-782-9365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-26
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7805226OtherAETNA
TX0050GSOtherBLUE CROSS BLUE SHIELD
TX144831803Medicaid
TX144831802OtherTEXAS HEALTH STEPS
TXCJ3991OtherRAILROAD MEDICARE
TX0050GSOtherBLUE CROSS BLUE SHIELD