Individual provider · Type 1 NPI

Daniel Choi Park, DO

Student in an Organized Health Care Education/Training Program · Longview, TX

NPI number 1093564304 Active

Practice location

701 E Marshall Ave Ste 400
Longview, TX 75601-5595

Call (903) 357-1434 Map

Mailing address

300 Nursery Ln Unit 101
Fort Worth, TX 76114-4465

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10088603 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093564304

Daniel Choi Park, DO's National Provider Identifier is 1093564304, issued on May 17, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Longview, TX. The record was last updated on May 17, 2024.