Park, Myung
Park, Myung is an individual health care provider with primary practice located at 3533 S Alameda St , Corpus Christi TX 78411-1721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Park, Myung can be contacted via phone (361) 694-5086.Contact Information
Primary practice address
3533 S Alameda St
Corpus Christi TX 78411-1721
Phone: (361) 694-5086
Fax: (361) 855-9518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | E5881 | Texas |
Profile Details
| NPI number | 1093753162 |
|---|---|
| LBN Legal business name | Park, Myung |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jan 31st, 2013 - about 11 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 | 1093753162 | NPPES |
| Texas | Other | 103316 | SUPERIOR HEALTHPLAN |
| Texas | Other | 8H9855 | SUPERIOR HEALTHPLAN |
| Texas | MEDICAID | 117824604 | SUPERIOR HEALTHPLAN |
| Texas | Other | 117824604 | SUPERIOR HEALTHPLAN |
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