IVAN YOUNG PARK

AUSTIN, TX
NPI1154076099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  AP1072471)
Enumeration Date2022-02-18
Last Update Date2022-03-17
Business Address
IVAN YOUNG PARK APRN
1208 W 38TH ST
AUSTIN, TX 78705-1006
Phone number: 512-324-1000
Mailing Address
IVAN YOUNG PARK APRN
9811 OAK RUN DR
AUSTIN, TX 78758-5545
Phone number: 512-598-5840
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