Douglas S. Park M.D. PA
Specialist in Midland, TX. Organization (NPI-2).
NPI number1760635874
StatusActive
Last updated in NPPESDec 8, 2011
Details
- NPI
- 1760635874
- Entity type
- Organization (NPI-2)
- Legal business name
- Douglas S. Park M.D. PA
- Organization subpart
- No
- Enumeration date
- Nov 3, 2008
- Last updated
- Dec 8, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | F6298 | TX | Yes |
Practice location
705 W. WadleyMidland, TX 79705-5373
Phone 432-687-4044 · Fax 432-687-0528
Mailing address
705 W. WadleyMidland, TX 79705-5373
Phone 432-687-4044 · Fax 432-687-0528
Authorized official
Douglas S. Park
Owner
4326874044
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