| NPI | 1346363587 | 
|---|---|
| Doing Business As | HUI JUN PARK, DC PC | 
| Other Name | MT HOUSTON MEDICAL CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | SANDRA ANN SHIRAH Admin/Credentialing Supervisor 832-683-4132  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 174400000X Specialist (Licence: TX J8017)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126718)  | 
| Enumeration Date | 2007-04-10 | 
| Last Update Date | 2019-10-03 |