Individual
CHANYANG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2900 E 29TH ST STE 300, BRYAN, TX 77802-2623
(979) 436-9100
Mailing address
2900 E 29TH ST STE 300, BRYAN, TX 77802-2623
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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