Individual
DR. ROBERT CONRAD PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2725 WIND RIVER LN, DENTON, TX 76210-2999
(940) 390-2420
Mailing address
PO BOX 51587, DENTON, TX 76206-1587
(940) 390-2420
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F4351
TX
207RI0011X
Interventional Cardiology Physician
F4351
TX
207UN0901X
Nuclear Cardiology Physician
F4351
TX
Other
Enumeration date
08/10/2005
Last updated
03/26/2022
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