Individual
MR. JOONHO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3571 W WHEATLAND RD STE 101, DALLAS, TX 75237-3461
(972) 274-5555
(972) 274-5663
Mailing address
20 CLENT RD APT 2P, GREAT NECK, NY 11021-5812
(516) 562-8200
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
S2867
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2013
Last updated
11/12/2019
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