Individual
BYUNG RYANG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8230 WALNUT HILL LN STE 220, DALLAS, TX 75231-4425
(214) 345-8692
Mailing address
8230 WALNUT HILL LN STE 220, DALLAS, TX 75231-4425
(214) 345-8692
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
K6211
TX
207RI0011X
Interventional Cardiology Physician
Primary
K6211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042813801
—
TX
05
—
042813803
—
TX
05
—
042813804
—
TX
01
—
110176958
RAILROAD MEDICARE LOC 11
TX
01
—
P00044325
RAILROAD MEDICARE LOC 99
TX
Enumeration date
07/28/2005
Last updated
06/03/2021
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