Provider Demographics
NPI:1578628319
Name:FIRST DOWNTOWN ASSOCIATES, INC
Entity type:Organization
Organization Name:FIRST DOWNTOWN ASSOCIATES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-322-5544
Mailing Address - Street 1:809 INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-6513
Mailing Address - Country:US
Mailing Address - Phone:940-322-5544
Mailing Address - Fax:940-322-5577
Practice Address - Street 1:809 INDIANA AVE
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-6513
Practice Address - Country:US
Practice Address - Phone:940-322-5544
Practice Address - Fax:940-322-5577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD3362207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty