P Praxis·MD
● Active Type 1 · Individual

Kristin Park, MD

Surgery·San Antonio, TX· NPI 1558118927 · Enumerated 2024 · 2 years on NPI
Park is 1 of 199 surgery providers in San Antonio and 1 of 3028 in Texas.
NPI age
2 years
Enumerated 2024-05-03
Primary specialty
Surgery
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-05-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3028 active surgery providers in Texas.

NPI age
2 years
↓ 16 yr below median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-05Enumerated in NPPES
2024 2026

Where they practice

Practice location
4502 Medical Dr
San Antonio, TX 782294402
📞 2143851235
Mailing address
7403 Wurzbach Rd Apt 462
San Antonio, TX 782293882

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    TX license #BP10087723 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 1646 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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