Park, Andrew Eunkoo
Park, Andrew Eunkoo is an individual health care provider with primary practice located at 17051 Dallas Pkwy Suite 400, Addison TX 75001-7109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Park, Andrew Eunkoo can be contacted via phone (214) 370-3006.Contact Information
Primary practice address
17051 Dallas Pkwy Suite 400
Addison TX 75001-7109
Phone: (214) 370-3006
Fax: (214) 828-1379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | L6562 | Texas |
Profile Details
| NPI number | 1598722654 |
|---|---|
| LBN Legal business name | Park, Andrew Eunkoo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jun 15th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598722654 | NPPES |
| Texas | MEDICAID | 159521701 | |
| Texas | Other | P00714233 | |
| Texas | Other | 8810M3 | |
| Texas | MEDICAID | 159521702 | |
| Texas | MEDICAID | 00954841A |
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