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Douglas S. Park M.d. Pa
Specialist in Midland, Texas
NPI 1760635874

Douglas S. Park M.d. Pa is a Specialist based in Midland, TX. Douglas S. Park M.d. Pa practices in Midland, TX. The NPI Number for Douglas S. Park M.d. Pa is 1760635874 and holds a License No. F6298 (Texas).

The current practice location address for Douglas S. Park M.d. Pa is 705 W. Wadley, Midland, TX and can be reached out via phone at 432-687-4044 and via fax at 432-687-0528.

Location: 705 W. Wadley, Midland, TX, 79705-5373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760635874
Provider Name
Douglas S. Park M.d. Pa
Credential
Provider Entity Type
Organization
Address
705 W. Wadley, Midland, TX, 79705-5373
Phone Number
432-687-4044
Fax Number
432-687-0528
Provider Enumeration Date
11/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00395X 01 TX MEDICARE PTAN
131459306 05 TX
institution
Provider Business Practice Location Address Details
Address
705 W. Wadley
City
Midland
State
Texas
Zip
79705-5373
Phone Number
432-687-4044
Fax Number
432-687-0528
person
Provider Business Mailing Address Details
Address
705 W. Wadley
City
Midland
State
Texas
Zip
79705-5373
Phone Number
432-687-4044
Fax Number
432-687-0528
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
F6298 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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