Park, David I
Park, David I is an individual health care provider with primary practice located at 3032 Communications Pkwy , Plano TX 75093-8913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Park, David I can be contacted via phone (972) 943-8440.Contact Information
Primary practice address
3032 Communications Pkwy
Plano TX 75093-8913
Phone: (972) 943-8440
Fax: (972) 618-3623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | K2977 | Texas |
Profile Details
| NPI number | 1689650541 |
|---|---|
| LBN Legal business name | Park, David I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | May 16th, 2013 - about 12 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 | 1689650541 | NPPES |
| Texas | Other | 8A2957 | BCBS |
| Texas | MEDICAID | 151361601 | BCBS |
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