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General NPI Number Information
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NPI Number | 1265858450
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS HOSPITALISTS, PLLC
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 8994 TOUR DR STE 210
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City | MCKINNEY
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State | TX
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Zip | 75070-2036
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Country | US
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Telephone | 972-449-5900
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Fax | 972-449-7100
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Provider Business Mailing Address
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Address Line | 8994 TOUR DR STE 210
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City | MCKINNEY
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State | TX
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Zip | 75070-2036
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Country | US
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Telephone | 972-449-5900
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Fax | 972-449-7100
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEN PARK
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Credential | M.D.
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Telephone | 214-680-1110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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