Park, Michael Hyungwook
Park, Michael Hyungwook is an individual health care provider with primary practice located at 2790 Lake Vista Dr , Lewisville TX 75067-3884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Park, Michael Hyungwook can be contacted via phone (972) 459-1300.Contact Information
Primary practice address
2790 Lake Vista Dr
Lewisville TX 75067-3884
Phone: (972) 459-1300
Fax: (972) 459-1382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | J8708 | Texas |
Profile Details
| NPI number | 1568404481 |
|---|---|
| LBN Legal business name | Park, Michael Hyungwook |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jan 20th, 2020 - about 4 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 | 1568404481 | NPPES |
| Texas | Other | 8R1520 | BLUE CROSS OF TEXAS |
| Texas | MEDICAID | 129006605 | BLUE CROSS OF TEXAS |
| Texas | MEDICAID | 129006603 | BLUE CROSS OF TEXAS |
| Texas | MEDICAID | 129006604 | BLUE CROSS OF TEXAS |
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