person
Mijeong Park, CPNP
Pediatric Nurse Practitioner in Houston, Texas
NPI 1710354907

Mijeong Park is a Pediatric Nurse Practitioner based in Tomball, TX and is specialized in Pediatrics. Mijeong Park practices in Houston, TX and has the professional credentials of CPNP. The NPI Number for Mijeong Park is 1710354907 and holds a License No. 5007911 (Texas).

The current practice location address for Mijeong Park is 12015 Louetta Rd Ste 100, Houston, TX and can be reached out via phone at 281-664-2152 and via fax at 281-257-3514.

Location: 12015 Louetta Rd Ste 100, Houston, TX, 77375-6579
person
Provider Profile Details
NPI Number
1710354907
Provider Name
Mijeong Park
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
12015 Louetta Rd Ste 100, Houston, TX, 77375-6579
Phone Number
281-664-2152
Fax Number
281-257-3514
Provider Enumeration Date
08/24/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1579732 01 NC WELLPATH
1710354907 01 NC HUMANA
1710354907 01 NC DOCTORS DIRECT
1710354907 01 NC HEALTHNET FEDERAL SERVICES
298447 01 NC MEDCOST
4632274 01 NC COVENTRY NATIONAL - COVENTRY PPO
FH4002315 01 NC FIRST CAROLINA CARE
1579732 01 NC COVENTRY OF THE CAROLINAS
1710354907 05 TX
4948746 01 NC AETNA
135452367 01 NC PHCS/MULTIPLAN
1710354907 01 NC HEALTHSMART
1710354907 05 NC
19EFK 01 NC BCBS OF NC
3455644 01 NC CIGNA/GREATWEST
5707800 01 NC UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
12015 Louetta Rd Ste 100
City
State
Zip
77070-1148
Phone Number
281-664-2152
Fax Number
281-257-3514
person
Provider Business Mailing Address Details
Address
12015 Louetta Rd Ste 100
City
State
Zip
77070-1148
Phone Number
281-664-2152
Fax Number
281-257-3514
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
5007911 (North Carolina)
Definition
Definition to come...
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