MYUNG PARK MD NPI 1093753162

NPI Information

NPI: 1093753162
Provider Name: MYUNG PARK, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

Address:
3533 S ALAMEDA ST
CORPUS CHRISTI, TX
ZIP 78411
Phone: (361) 694-5086
Get Directions

Myung Park, MD is a pediatric cardiology pediatrics in Corpus Christi, TX. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Myung Park, MD NPI is 1093753162. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3533 S ALAMEDA ST
CORPUS CHRISTI, TX
ZIP 78411-721
Phone: (361) 694-5086
Fax: (361) 855-9518

The enumeration date for this NPI number is 6/2/2006 and was last updated on 1/31/2013.

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
1	2080P0202X	Pediatrics	Pediatric Cardiology	E5881	TEXAS	Yes

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
1	8H9855	OTHER	TEXAS	BCBSTX
2	C20183	MEDICARE UPIN	TEXAS
3	103316	OTHER	TEXAS	SUPERIOR HEALTHPLAN
4	117824604	OTHER	TEXAS	CSHCN
5	8B2090	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
6	117824604	MEDICAID	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

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