P Praxis·MD
● Active Type 1 · Individual

Sungjin Park

Physician Assistant·Dallas, TX· NPI 1730546078 · Enumerated 2016 · 10 years on NPI
Park is 1 of 1160 physician assistant providers in Dallas and 1 of 11022 in Texas.
NPI age
10 years
Enumerated 2016-01-18
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-01-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 11022 active physician assistant providers in Texas.

NPI age
10 years
≈ at median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-01Enumerated in NPPES
2016 2026

Where they practice

Practice location
10400 N Central Expy
Dallas, TX 752312297
📞 9728844400fax 9728844401
Mailing address
10400 N Central Expy
Dallas, TX 752312297
📞 9728844400fax 9728844401

Additional practice locations

1 secondary location on file with NPPES.

Location 2
729 W Bedford Euless Rd, #206
Hurst, TX 760533939
📞 8172880084fax 8174451039

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    TX license #PA10351TX license #PATMP596408 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 37 other active providers share this practice address in NPPES.

Recently enumerated nearby: 15 new physician assistant providers have been added in Dallas in the last 180 days. See all →
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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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