Myung Park
Pediatric Cardiologist
3533 S Alameda St
Corpus Christi
, Texas 78411-1721
Myung Park
Pediatric Cardiologist
3533 S Alameda St
Corpus Christi
, Texas 78411-1721
(361) 855-9518
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Myung Park
- Po Box 6636
- Corpus Christi, TX
- Zip : 78466-6636
- Fax : (361) 855-9518
- Phone : (361) 694-5086
Second Address
- Myung Park
- 3533 S Alameda St
- Corpus Christi, TX
- Zip : 78411-1721
- Fax : (361) 855-9518
- Phone : (361) 694-5086
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | E5881 | TX |
National Provider Identifier
| NPI | 1093753162 |
|---|---|
| Provider Name | Myung Park |
| First Address | Corpus Christi, TX 78466-6636 |
| Second Address | Corpus Christi, TX 78411-1721 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2006 |
| Last Update Date | 31/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 103316 | SUPERIOR HEALTHPLAN (01) | TX |
| 117824604 | (05) | TX |
| 117824604 | CSHCN (01) | TX |
| 8H9855 | BCBSTX (01) | TX |
| C20183 | (02) | 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.