John Jungsik Park
Neurosurgeon
16605 Southwest Fwy Suite 285
Sugar Land
, Texas 77479-3501
John Jungsik Park
Neurosurgeon
16605 Southwest Fwy Suite 285
Sugar Land
, Texas 77479-3501
(281) 313-0031
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- John Jungsik Park
- 16605 Southwest Fwy Suite 285
- Sugar Land, TX
- Zip : 77479-3501
- Phone : (281) 313-0031
Second Address
- John Jungsik Park
- 16605 Southwest Fwy Suite 285
- Sugar Land, TX
- Zip : 77479-3501
- Phone : (281) 313-0031
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | N2712 | TX |
National Provider Identifier
| NPI | 1063560597 |
|---|---|
| Provider Name | John Jungsik Park |
| First Address | Sugar Land, TX 77479-3501 |
| Second Address | Sugar Land, TX 77479-3501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2007 |
| Last Update Date | 12/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 202947201 | (05) | TX |
| 8BZ837 | BLUE CROSS BLUE SHIELD TEXAS (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.