Clinton Sangkyu Park in Dallas - Therapeutic Radiology
Clinton Sangkyu Park - NPI 1295932242
Clinton Sangkyu Park is a Therapeutic Radiology in Dallas, Texas. Clinton Sangkyu Park practices all healthcare services and medical treatments related to Therapeutic Radiology. The NPI Number for Clinton Sangkyu Park is 1295932242. The last update date is 2021-12-09.
Clinton Sangkyu Park's current location address is Po Box 911230, Dallas, Texas. You can contact this provider via phone number 9729978000 and fax number 9722342987. The mailing address for Clinton Sangkyu Park is Po Box 911230, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clinton Sangkyu Park |
|---|---|
| Address | Po Box 911230, Dallas, Texas |
| Phone Number | 9729978000 |
| Fax Number | 9722342987 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1295932242 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2021-12-09 |
Provider Mailing Address Detail
| Address | Po Box 911230 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 753911230 |
| Phone Number | 9729978000 |
| Fax Number | 9722342987 |
Provider's Primary Taxonomy Detail
| Speciality | Therapeutic Radiology |
|---|---|
| Taxonomy | 2085R0203X |
| Licence No | BP10022820 |
|
Definition: A doctor who specializes in using radiation to treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00764078 | TX | RAILROAD MEDICARE | |
| 8CA240 | TX | BLUECROSS BLUESHIELD OF TEXAS | |
| 202476201 | TX | -- | |
| 202476202 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Clinton Sangkyu Park by the Centers for Medicare & Medicaid Services?
The Clinton Sangkyu Park has been assigned the NPI (National Provider Identifier) 1295932242 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Clinton Sangkyu Park?
The Clinton Sangkyu Park is situated at Po Box 911230, in the city of Dallas, state of TX, with the zip code 753911230.
What is Clinton Sangkyu Park's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clinton Sangkyu Park's area of specialization is Therapeutic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0203X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295932242 to Clinton Sangkyu Park?
The Centers for Medicare & Medicaid Services originally issued the 1295932242 to Clinton Sangkyu Park on 2007-07-02.
As of what date were the details related to Clinton Sangkyu Park most recently updated or revised?
The information pertaining to Clinton Sangkyu Park, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-09.
NPI Number: 1255391348
Address: 2331 N State Road 7, Lauderdale Lakes, FL