Clair Park, DO

Pediatrics Physician · Lubbock, TX

Individual Active NPI

NPI number 1316638364

Practice location

3601 4TH St Stop 9406
Lubbock, TX 79430-9406
Phone
(806) 743-7660

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NPI record

NPI
1316638364
Entity type
Individual (Type 1)
Enumeration date
May 18, 2023
Last updated
May 18, 2023
Certified
May 18, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X BP10083601 TX

About Dr. Park

Clair Park, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 3601 4TH St Stop 9406, Lubbock, TX 79430-9406. The NPI number 1316638364 was assigned on May 18, 2023 and the record was last updated on May 18, 2023.

Dr. Park lists a license in the registry: #BP10083601 (TX) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clair Park, DO?

The NPI number is 1316638364.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (806) 743-7660.

Where is Dr. Park located?

3601 4TH St Stop 9406, Lubbock, TX 79430-9406.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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