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Madeleine Park
Student in an Organized Health Care Education/Training Program in Katy, Texas
NPI 1104526193

Madeleine Park is a Student in an Organized Health Care Education/Training Program based in Katy, TX. Madeleine Park practices in Katy, TX. The NPI Number for Madeleine Park is 1104526193 and holds a License No. (Texas).

The current practice location address for Madeleine Park is 1906 Crescent Common Dr, Katy, TX and can be reached out via phone at 832-584-8918.

Location: 1906 Crescent Common Dr, Katy, TX, 77494-7512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104526193
Provider Name
Madeleine Park
Credential
Provider Entity Type
Individual
Gender
Female
Address
1906 Crescent Common Dr, Katy, TX, 77494-7512
Phone Number
832-584-8918
Fax Number
Provider Enumeration Date
03/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1906 Crescent Common Dr
City
Katy
State
Texas
Zip
77494-7512
Phone Number
832-584-8918
Fax Number
person
Provider Business Mailing Address Details
Address
1906 Crescent Common Dr
City
Katy
State
Texas
Zip
77494-7512
Phone Number
832-584-8918
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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