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SANGWOOK PARK
NPI 1063296150
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since August 21, 2023
3381 BLACKBURN ST APT 1306, DALLAS, TX 75204(469) 381-9537 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sangwook Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANGWOOK PARK (NPI 1063296150) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1063296150
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSANGWOOK PARK
Location Address3381 BLACKBURN ST APT 1306Dallas, TX 75204-1590
Mailing Address3381 Blackburn St Apt 1306Dallas, TX 75204-1590 · (469) 381-9537
Phone(469) 381-9537
Sole ProprietorYes
Enumeration DateAugust 21, 2023
NPPES CertifiedAugust 21, 2023
✔ NPI 1063296150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3381 BLACKBURN ST APT 1306, Dallas, TX 75204
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sangwook Park's NPI number?

The NPI number for Sangwook Park is 1063296150. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Sangwook Park located?

Sangwook Park practices at 3381 Blackburn St Apt 1306, Dallas, TX 75204. The listed phone number is (469) 381-9537.

What is Sangwook Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Sangwook Park was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.