Individual provider · Type 1 NPI

Peter Yong Soo Park, DO

Diagnostic Radiology Physician · Houston, TX

NPI number 1043672892 Active

Practice location

6431 Fannin St, Msb 2.116
Houston, TX 77030-1501

Fax (713) 500-7647

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298

Other practice locations

  • 15655 Cypress Wood Medical Dr Ste 100, Houston, TX 77014-1487 · (713) 442-1700

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XSL1170 (NV)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202XT3676 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1043672892

Peter Yong Soo Park, DO's National Provider Identifier is 1043672892, issued on Mar 22, 2016. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Houston, TX. The record was last updated on Mar 28, 2022.