Individual
KRISTIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(214) 385-1235
Mailing address
7403 WURZBACH RD APT 462, SAN ANTONIO, TX 78229-3882
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP10087723
TX
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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