Provider Demographics
NPI:1396265120
Name:PARSONS, STEVEN MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:PARSONS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:MICHAEL
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1405 TRUMPET DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-1684
Mailing Address - Country:US
Mailing Address - Phone:682-250-3927
Mailing Address - Fax:
Practice Address - Street 1:1405 TRUMPET DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76131-1684
Practice Address - Country:US
Practice Address - Phone:682-250-3927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-22
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14102111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor