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Individual

DR. DAVID HWANTAE PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
7750 N MACARTHUR BLVD, STE 180, IRVING, TX 75063-7524
(972) 401-0008
(972) 401-1630
Mailing address
9100 BOTTLEBRUSH LN, IRVING, TX 75063-4227
(972) 401-0008
(972) 401-1630

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6049TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60122914
DPS REGISTRATION
TX
Enumeration date
11/01/2006
Last updated
03/07/2023
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