MS. YOON JUNG PARK


Address: 1200 Binz St #1040, Houston, TX 77004
Phone: 7135248700

MS. YOON JUNG PARK (NPI# 1396291001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396291001
Entity Type Individual
Full Name MS. YOON JUNG PARK
Credential F.N.P.
Practice Address 1200 Binz St #1040
Houston
TX 77004
Practice Telephone 7135248700
Practice Fax Number 7135242910
Mailing Telephone 7135248700
Mailing Fax Number 7135242910
Enumeration Date 2016-09-01
Last Update Date 2020-05-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP130823 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1200 BINZ ST #1040
City HOUSTON
State TX
Zip Code 77004

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1851908610 Iyobo Elegon Nurse Practitioner 8511 Dawnridge Dr, Houston, TX 77071-2441 2020-09-25
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Competitor

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City HOUSTON
Zip Code 77004

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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