Park, Joon

Park, Joon is an individual health care provider with primary practice located at 3502 9Th St Suite 290, Lubbock TX 79415-3300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Park, Joon can be contacted via phone (806) 743-1540.

Contact Information

Primary practice address
3502 9Th St Suite 290 Lubbock TX 79415-3300
Phone: (806) 743-1540
Fax: (806) 743-3908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X E9904 Texas

Profile Details

NPI number 1902887771
LBN Legal business name Park, Joon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jul 13th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902887771 NPPES
New Mexico Other 44268 PRESBYTERIAN COMMERCIAL
New Mexico MEDICAID 44268 PRESBYTERIAN COMMERCIAL
New Mexico Other 85E551 PRESBYTERIAN COMMERCIAL
New Mexico Other A078 PRESBYTERIAN COMMERCIAL
New Mexico MEDICAID V3884 PRESBYTERIAN COMMERCIAL
New Mexico Other 80896Z PRESBYTERIAN COMMERCIAL

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