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Dr. Clinton Sangkyu Park, MD
Radiation Oncology Physician in Fort Worth, Texas
NPI 1295932242

Clinton Sangkyu Park is a Radiation Oncology Physician based in Dallas, TX and is specialized in Radiation Oncology. Clinton Sangkyu Park practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Clinton Sangkyu Park is 1295932242 and holds a License No. BP10022820 (Texas).

The current practice location address for Clinton Sangkyu Park is 500 S Henderson St Ste 200, Fort Worth, TX and can be reached out via phone at 817-413-1500 and via fax at 817-413-1499.

Location: 500 S Henderson St Ste 200, Fort Worth, TX, 75391-1230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295932242
Provider Name
Clinton Sangkyu Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
500 S Henderson St Ste 200, Fort Worth, TX, 75391-1230
Phone Number
817-413-1500
Fax Number
817-413-1499
Provider Enumeration Date
07/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00764078 01 TX RAILROAD MEDICARE
8CA240 01 TX BLUECROSS BLUESHIELD OF TEXAS
202476201 05 TX
202476202 05 TX
institution
Provider Business Practice Location Address Details
Address
500 S Henderson St Ste 200
City
Fort Worth
State
Texas
Zip
76104-2154
Phone Number
817-413-1500
Fax Number
817-413-1499
person
Provider Business Mailing Address Details
Address
500 S Henderson St Ste 200
City
Fort Worth
State
Texas
Zip
76104-2154
Phone Number
817-413-1500
Fax Number
817-413-1499
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
N3228 (Texas)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Therapeutic Radiology
Taxonomy
2085R0203X
License No.
BP10022820 (Texas)
Definition
Definition to come...
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