P Praxis·MD
● Active Type 1 · Individual

Su Won Park, NP

Nurse Practitioner·Crowley, TX· NPI 1265706402 · Enumerated 2012 · 14 years on NPI
Park is 1 of 12 nurse practitioner providers in Crowley and 1 of 22123 in Texas.
NPI age
14 years
Enumerated 2012-03-06
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 22123 active nurse practitioner providers in Texas.

NPI age
14 years
↑ 7 yr above median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-03Enumerated in NPPES
2012 2026

Where they practice

Practice location
825 S Crowley Rd
Crowley, TX 760363663
📞 8663892727
Mailing address
825 S Crowley Rd
Crowley, TX 760363663

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #AP121597TX license #745143 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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