NPI | 1346363587 |
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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 |