Douglas S. Park M.D. Pa

LBN: Douglas S. Park M.D. Pa
Douglas S. Park M.D. Pa is an health care organization with primary practice located at 705 W. Wadley , Midland TX 79705-5373. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Douglas S. Park M.D. Pa can be contacted via phone (432) 687-4044, or through Park, Douglas S. via phone (432) 687-4044.

Contact Information

Primary practice address
705 W. Wadley Midland TX 79705-5373
Phone: (432) 687-4044
Fax: (432) 687-0528
Website:
Map and Directions
Authorized official contact:
Name: Park, Douglas S. Doctor of Medicine (MD)
Phone: (432) 687-4044

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X F6298 Texas

Profile Details

NPI number 1760635874
LBN Legal business name Douglas S. Park M.D. Pa
DBA Doing business as
Authorized official Park, Douglas S. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2008
Last updated Dec 8th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760635874 NPPES
Texas Other 00395X MEDICARE PTAN
Texas MEDICAID 131459306 MEDICARE PTAN

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