Individual provider · Type 1 NPI

Charles Tyler Park

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

NPI number 1366385239 Active

Practice location

6431 Fannin St
Houston, TX 77030-1501

Call (713) 500-6526 Map

Mailing address

2313 Melroy Dr
Edinburg, TX 78539-6405

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1366385239

Charles Tyler Park's National Provider Identifier is 1366385239, issued on Apr 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Houston, TX. The record was last updated on Apr 14, 2026.