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JOSEPH PARK D.O. PLLC NPI 1649427337


NPI Information

NPI: 1649427337
Provider Name: JOSEPH PARK, D.O., PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3805 MAIN ST
STE 112
THE COLONY, TX
ZIP 75056
Phone: (972) 370-0004
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JOSEPH PARK, D.O., PLLC is a family medicine in The Colony, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JOSEPH PARK, D.O., PLLC NPI is 1649427337. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3805 MAIN ST
STE 112
THE COLONY, TX
ZIP 75056-852
Phone: (972) 370-0004
Fax: (972) 370-0088

The provider's authorized official is Joseph Park .
The authorized official title is Owner and has the following contact phone number (972) 370-0004.

The enumeration date for this NPI number is 8/25/2008 and was last updated on 8/28/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineM5418TEXASNo
2207Q00000XFamily MedicineL6563TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I16636MEDICARE UPINTEXAS
21675746-02MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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