Individual
CAROLINE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390
(214) 648-3762
Mailing address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1396031068
TX
2086S0102X
Surgical Critical Care Physician
1396031068
TX
Other
Enumeration date
06/21/2011
Last updated
09/14/2019
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