NPI age
18 years
Enumerated 2007-07-02
● Active
Type 1 · Individual
DR. Clinton Sangkyu Park, M.D.
Park is 1 of 13 radiology providers in Fort Worth and 1 of 568 in Texas.
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-12-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 568 active radiology providers in Texas.
NPI age
18 years
≈ at median (18 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Practice location
500 S Henderson St Ste 200
Fort Worth, TX 761042154
Mailing address
Po Box 911230
Dallas, TX 753911230
Specialties
-
Radiology PrimaryA radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
-
RadiologyTherapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P00764078 | RAILROAD MEDICARE |
| 01 (TX) | 8CA240 | BLUECROSS BLUESHIELD OF TEXAS |
| 05 (TX) | 202476201 | |
| 05 (TX) | 202476202 |
Practice context
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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