Individual
MR. MICHAEL ROBERT PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8215 UNIVERSITY AVE STE 100, LUBBOCK, TX 79423-3169
(806) 698-1083
Mailing address
10100 E PR 5150, PETERSBURG, TX 79250
(806) 777-2695
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
81194
TX
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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