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1740049311
PETER PARK
AUSTIN, TX
NPI
1740049311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
Dr. PETER PARK MD
4310 JAMES CASEY ST STE A
AUSTIN, TX 78745-1251
Phone number: 512-816-5648
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Mailing Address
Dr. PETER PARK MD
4310 JAMES CASEY ST STE A
AUSTIN, TX 78745-1251
Phone number: 512-816-5648
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