Active NPI
Denton Physical Medicine Pain
- Physical Medicine & Rehabilitation Physician
- Flower Mound, TX
National Provider Identifier
1891770731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- J8969
- Legal business name
- DENTON PHYSICAL MEDICINE PAIN
- Practice address
- 4320 Windsor Centre TRL
Ste 300
Flower Mound, TX 75028-1858 - Phone
- (972) 539-1200
- Fax
- (972) 539-1221
- NPI assigned
- Dec 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Parchelle Deniese Connally, MD
- Title
- Medical Director
- Phone
- (972) 539-1200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | J8969 | TX | Primary |
| Pain Medicine Physician | 208VP0000X | J8969 | TX |
Addresses
Primary practice location
4320 Windsor Centre TRL
Ste 300
Flower Mound, TX 75028-1858
Mailing address
5801 Shorefront LN
Flower Mound, TX 75022-5698
Phone (972) 539-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036324401 | Medicaid | TX |
Other names 1
- Parchelle D Connally MD
National Provider Directory
National Provider DirectoryLocations
1422 W Main St
Ste 200
Lewisville, TX 75067
Phone (972) 434-0900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310428800000",
"number": "1891770731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 SHOREFRONT LN",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750225698",
"telephone_number": "972-539-1200",
"fax_number": "972-539-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 WINDSOR CENTRE TRL",
"address_2": "STE 300",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281858",
"telephone_number": "972-539-1200",
"fax_number": "972-539-1221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTON PHYSICAL MEDICINE PAIN",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-14",
"last_updated": "2011-07-12",
"status": "A",
"authorized_official_last_name": "CONNALLY",
"authorized_official_first_name": "PARCHELLE",
"authorized_official_middle_name": "DENIESE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "972-539-1200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "J8969",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "J8969",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036324401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Parchelle D Connally MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.