Provider Demographics
NPI:1609690403
Name:PARKWAY INDUSTRIES, LLC
Entity type:Organization
Organization Name:PARKWAY INDUSTRIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:ANTONIA
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:346-485-5033
Mailing Address - Street 1:1853 PEARLAND PKWY STE 121
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-8864
Mailing Address - Country:US
Mailing Address - Phone:346-485-5033
Mailing Address - Fax:
Practice Address - Street 1:1853 PEARLAND PKWY STE 121
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-8864
Practice Address - Country:US
Practice Address - Phone:346-485-5033
Practice Address - Fax:346-296-9605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-09
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care