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DOUGLAS S. PARK M.D. PA
NPI 1760635874
Specialist in Midland, TX

Active since November 03, 2008
705 W. WADLEY, MIDLAND, TX 79705(432) 687-4044(432) 687-0528 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas S. Park M.d. Pa NPPES

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

DOUGLAS S. PARK M.D. PA (NPI 1760635874) is a healthcare organization registered as a specialist in Midland, Texas and active in the NPI registry since November 2008. The organization lists Douglas S. Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1760635874
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDOUGLAS S. PARK M.D. PA
Location Address705 W. WADLEYMidland, TX 79705-5373
Mailing Address705 W. WadleyMidland, TX 79705-5373 · (432) 687-4044 · Fax (432) 687-0528
Phone(432) 687-4044
Fax(432) 687-0528
Organization SubpartNo
Authorized OfficialDouglas S. ParkOwner · (432) 687-4044
Enumeration DateNovember 3, 2008
Last NPPES UpdateDecember 8, 2011
✔ NPI 1760635874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · F6298
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.
705 W. WADLEY, Midland, TX 79705
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Other Identifiers 3

Other00395XTX · Medicare Ptan
Medicare UPINC20188TX
Medicaid131459306TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Douglas S. Park M.D. PA's NPI number?

The NPI number for Douglas S. Park M.D. PA is 1760635874. It was assigned to this organization in the NPPES registry on November 3, 2008.

Where is Douglas S. Park M.D. PA located?

Douglas S. Park M.D. PA is located at 705 W. Wadley, Midland, TX 79705. The listed phone number is (432) 687-4044.

What is Douglas S. Park M.D. PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Douglas S. Park M.D. PA was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.