DR. JIN SUP PARK


Address: 8619 Pasture View Ln, Houston, TX 77024-7039
Phone: 7136860274

DR. JIN SUP PARK (NPI# 1962436550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962436550
Entity Type Individual
Full Name DR. JIN SUP PARK
Credential MD
Practice Address 8619 Pasture View Ln
Houston
TX 77024-7039
Practice Telephone 7136860274
Practice Fax Number 7136860274
Mailing Telephone 7136860274
Mailing Fax Number 7136860274
Enumeration Date 2006-07-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
E8797 TX Allopathic & Osteopathic Physicians

Other Providers JIN PARK

NPI Name Taxonomy Address Enumeration
1730619032 Jin Park Acupuncturist 1096 N Western Ave Ste 107, Los Angeles, CA 90029-2340 2017-06-19
1972767069 Jin Park Optometrist 266 Yorktown Ctr, Lombard, IL 60148-5526 2008-07-17
1245440486 Jin Woo Park Acupuncturist 1323 Phillips Dr, Fullerton, CA 92833-5641 2007-05-23
1255548343 Jin Sook Park Physical Therapist 630 Hillcrest Dr, Redwood City, CA 94062 2007-05-17
1336264126 Jin Won Park Acupuncturist 9042 Garden Grove Blvd Ste 299, Garden Grove, CA 92844-1370 2007-03-20
1164552246 Jin Hwi Park Dentist 9295 Magnolia Ave, #103, Riverside, CA 92503-3800 2007-03-06
1992800353 Jin Hewa Park Family Medicine 250 W San Jose Ave, Claremont, CA 91711-5207 2006-09-13
1053948034 Jin Patrick Park Student in an Organized Health Care Education/Training Program 505 E 70th St, New York, NY 10021-4872 2020-03-27
1073052478 Jin Park Pharmacist 1900 E Lambert Rd, Brea, CA 92821-4371 2017-02-17
1801246715 Jin Park Student in an Organized Health Care Education/Training Program 1 Medical Center Dr, Morgantown, WV 26506-1200 2016-06-21

Office Location

Street Address 8619 PASTURE VIEW LN
City HOUSTON
State TX
Zip Code 77024-7039

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154955664 Candace L Lillibridge Physical Therapist 700 Town & Country Blvd, Suite 2490, Houston, TX 77024 2020-02-24
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1912540352 Francesca Penner Psychologist 920 Frostwood Drive, Suite 670 and 680, Houston, TX 77024 2019-10-17
1407498553 Charles Hooks Iv Technician 12119 Perthshire Rd, Houston, TX 77024 2019-10-10
1427614379 Texas Regional Clinic Pain Medicine 8301 Katy Freeway, Suite 101, Houston, TX 77024 2019-05-16
1922663871 Fast Premier Transport LLC Secured Medical Transport (VAN) 811 Town and Country Blvd., Suite 141, Houston, TX 77024 2019-05-07
1205317534 Hiro Health Corporation Durable Medical Equipment & Medical Supplies 8584 Katy Freeway, Suite 422, Houston, TX 77024 2018-08-24
1548799901 K Med Pharmacy Pharmacy 11900 Barryknoll #6109, Houston, TX 77024 2017-06-08
1184166712 Baylor College of Medicine Clinic/Center 8660 Memorial Drive, Houston, TX 77024 2016-11-14
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295096576 Peiman Habibollahi Radiology 1515 Holcombe Blvd Unit 1471, Houston, TX 77030-4000 2012-06-04
1164681862 Kimberly Charmell Weatherspoon Radiology 2190 North Loop W Ste 250, Houston, TX 77018-8016 2008-06-06
1215153531 Adam S Alli Radiology 5301 Hollister St., Suite 350, Houston, TX 77040 2007-04-17
1396885760 Vascular Access Center of Houston LLC Radiology 9230 Kirby St, Suite 100, Houston, TX 77054 2007-02-07
1376563700 Sudhen B Desai Radiology 6701 Fannin St Ste 470, Houston, TX 77030-2608 2006-07-20
1205832466 Jeffrey R Goldstein Radiology 7026 Old Katy Rd, Suite 276, Houston, TX 77024-2133 2005-06-22
1992260277 Nirp Dallas-fort Worth Pllc Radiology 3730 Kirby Dr Ste 1200, Houston, TX 77098-3985 2019-01-31
1619432903 Nirp Bryan-college Station Pllc Radiology 3730 Kirby Dr Ste 1200, Houston, TX 77098-3985 2019-01-31
1033674312 Nirp Waco Pllc Radiology 3730 Kirby Dr Ste 1200, Houston, TX 77098-3985 2019-01-31
1326526583 Medical Imaging Partners Pa Radiology 16750 Red Oak Dr, Houston, TX 77090-2543 2018-07-31
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Competitor

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City HOUSTON
Zip Code 77024

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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