PETER YONG SOO PARK

HOUSTON, TX
NPI1043672892
Former NameYONG SOO PARK
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: TX  T3676)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NV  SL1170)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-03-22
Last Update Date2022-03-28
Business Address
PETER YONG SOO PARK D.O.
6431 FANNIN ST MSB 2.116
HOUSTON, TX 77030-1501
Phone number: 713-500-7640
Mailing Address
PETER YONG SOO PARK D.O.
11511 SHADOW CREEK PKWY
PEARLAND, TX 77584-7298
Phone number: 713-442-4997