Individual
MYUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5086
(361) 855-9518
Mailing address
PO BOX 6636, CORPUS CHRISTI, TX 78466-6636
(361) 694-5086
(361) 855-9518
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
E5881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103316
SUPERIOR HEALTHPLAN
TX
01
—
117824604
CSHCN
TX
05
—
117824604
—
TX
01
—
8H9855
BCBSTX
TX
Enumeration date
06/02/2006
Last updated
01/31/2013
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