Park, Sueng K
Park, Sueng K is an individual health care provider with primary practice located at 4600 E Sam Houston Pkwy S , Pasadena TX 77505-3948. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Park, Sueng K can be contacted via phone (713) 481-3533.Contact Information
Primary practice address
4600 E Sam Houston Pkwy S
Pasadena TX 77505-3948
Phone: (713) 481-3533
Fax: (713) 432-0221
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | E1917 | Texas |
Profile Details
NPI number | 1922099902 |
---|---|
LBN Legal business name | Park, Sueng K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 31st, 2005 |
Last updated | Dec 2nd, 2009 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922099902 | NPPES |
Texas | MEDICAID | 129866301 | |
Texas | MEDICAID | 129866306 | |
Texas | MEDICAID | 129866307 | |
Texas | Other | 8AN893 |
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