Search › Texas › 1223G0001X
Joseph Park, D.D.S
NPI 1699916585 · on the registry since 2009 · sole proprietor
Practice
- Address
- 2411 Williams Dr Ste 111
Georgetown, TX 78628 - Phone
- (877) 800-5722
- Fax
- (512) 864-1447
- Organisation at this address
- Khem Labs Llc
Liberty Drugs Llc
Liberty Drugs Llc
Lone Star Circle Of Care
Lone Star Vein Institute PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Additional practice sites
- 2120 N Mays St Ste 430, Round Rock, TX
- 605 Old Austin Hwy, Bastrop, TX
- 802 Avenue J, Marble Falls, TX
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- WA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-04-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas