Park, Grace Eunjin

Park, Grace Eunjin is an individual health care provider with primary practice located at 5005 N Piedras St , El Paso TX 79930-5097. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Park, Grace Eunjin can be contacted via phone (915) 742-1900.

Contact Information

Primary practice address
5005 N Piedras St El Paso TX 79930-5097
Phone: (915) 742-1900
Fax: (915) 742-9488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 27457 Nebraska
Allopathic & Osteopathic Physicians / Urology 208800000X 27457 Nebraska

Profile Details

NPI number 1982977278
LBN Legal business name Park, Grace Eunjin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2012
Last updated Mar 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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