NPI age
1 years
Enumerated 2024-06-07
● Active
Type 1 · Individual
DR. Tiffany Ruth Park, DO
Park is 1 of 148 general practice providers in San Antonio and 1 of 2087 in Texas.
Primary specialty
General Practice
Licensed in
CO
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2087 active general practice providers in Texas.
NPI age
1 years
↓ 9 yr below median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-06Enumerated in NPPES
2024
2026
Where they practice
Practice location
3551 Roger Brooke Dr
San Antonio, TX 782344504
Mailing address
340 Treeline Park Apt 636
San Antonio, TX 782091839
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice context
Part of a multi-provider practice. 365 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 2087 General Practice providers in Texas?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.