Audrey Parish, PA-C
Physician Assistant in Fort Worth, TX. Individual provider (NPI-1).
NPI number1124472428
StatusActive
Last updated in NPPESOct 16, 2023
Details
- NPI
- 1124472428
- Entity type
- Individual (NPI-1)
- Name
- Audrey Parish
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2016
- Certification date
- Oct 16, 2023
- Last updated
- Oct 16, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA15964 | TX | Yes |
| 363A00000X | Physician Assistant | 2591 | OK |
Other names
- Audrey McGowen (Former Name)
Practice location
3200 Riverfront DrFort Worth, TX 76107-6570
Phone 817-336-3800 · Fax 817-335-9454
Mailing address
Po Box 733784Dallas, TX 75373-3784
Phone 682-885-6483 · Fax 682-885-3113
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