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DR. JOON PARK M.D. NPI 1902887771


NPI Information

NPI: 1902887771
Provider Name: DR. JOON PARK, M.D.
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

Address:
3502 9TH ST
SUITE 290
LUBBOCK, TX
ZIP 79415
Phone: (806) 743-1540
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DR. Joon Park, M.D. is a pediatric cardiology pediatrics in Lubbock, 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. DR. Joon Park, M.D. NPI is 1902887771. 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:

3502 9TH ST
SUITE 290
LUBBOCK, TX
ZIP 79415-300
Phone: (806) 743-1540
Fax: (806) 743-3908

The enumeration date for this NPI number is 11/9/2005 and was last updated on 7/13/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyE9904TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
185E551OTHERTEXASBC/BS
2V3884MEDICAIDNEW MEXICO
3E79704MEDICARE UPINTEXAS
489C165MEDICARE ID-TYPE UNSPECIFIEDTEXAS
544268OTHERNEW MEXICOPRESBYTERIAN COMMERCIAL
644268MEDICAIDNEW MEXICO
7A078OTHERNEW MEXICOTRIWEST
880896ZOTHERTEXASHMO BLUE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.