Individual
JOHN JUNGSIK PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16605 SOUTHWEST FWY, SUITE 285, SUGAR LAND, TX 77479-3501
(281) 313-0031
Mailing address
16605 SOUTHWEST FWY, SUITE 285, SUGAR LAND, TX 77479-3501
(281) 313-0031
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
N2712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202947201
—
TX
01
—
8BZ837
BLUE CROSS BLUE SHIELD TEXAS
TX
Enumeration date
01/08/2007
Last updated
07/12/2017
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