NPI age
17 years
Enumerated 2008-11-03
● Active Type 2 · Organization
Douglas S. Park M.D. PA
Douglas S. Park M.D. PA is 1 of 4038 specialist organizations in Texas.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Park
Owner
Last NPPES update
2011-12-08
Source: monthly bulk 2026-05
How this organization compares
Across 4038 active specialist providers in Texas.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-11Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
705 W. Wadley
Midland, TX 797055373
Mailing address
705 W. Wadley
Midland, TX 797055373
Authorized official
Douglas S. Park, M.D.
Owner
📞 4326874044
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00395X | MEDICARE PTAN |
| 05 (TX) | 131459306 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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