Park, John Jungsik

Park, John Jungsik is an individual health care provider with primary practice located at 16605 Southwest Fwy Suite 285, Sugar Land TX 77479-3501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Park, John Jungsik can be contacted via phone (281) 313-0031.

Contact Information

Primary practice address
16605 Southwest Fwy Suite 285 Sugar Land TX 77479-3501
Phone: (281) 313-0031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X N2712 Texas

Profile Details

NPI number 1063560597
LBN Legal business name Park, John Jungsik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 12th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063560597 NPPES
Texas Other 8BZ837 BLUE CROSS BLUE SHIELD TEXAS
Texas MEDICAID 202947201 BLUE CROSS BLUE SHIELD TEXAS

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