Provider Demographics
NPI:1366605735
Name:LENTZSCH-PARCELLS, CAROLYN MARGARET (MD)
Entity type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:MARGARET
Last Name:LENTZSCH-PARCELLS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4200 SOUTH HULEN STREE
Mailing Address - Street 2:SUITE 450
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109
Mailing Address - Country:US
Mailing Address - Phone:817-524-1811
Mailing Address - Fax:973-733-6564
Practice Address - Street 1:4200 SOUTH HULEN STREE
Practice Address - Street 2:SUITE 450
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109
Practice Address - Country:US
Practice Address - Phone:817-524-1811
Practice Address - Fax:972-733-6564
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM8790208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM8790OtherSTATE LICENSE
TX340742101Medicaid
TXM8790OtherSTATE LICENSE