MEDICARE: HYUNG PARK MD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician

General Provider Information

NPI Number	:	1477497840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HYUNG PARK MD PLLC

Provider Business Mailing Address
First Line	:	2619 MCKINNEY AVE APT 508
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-3018
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2619 MCKINNEY AVE APT 508
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-3018
Country	:	US
Telephone Number	:	425-200-4554
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	HYUNG PARK
Credential	:
Telephone Number	:	425-200-4554

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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