P Praxis·MD
● Active Type 1 · Individual

DR. Joon Park, M.D.

Pediatrics·Lubbock, TX· NPI 1902887771 · Enumerated 2005 · 20 years on NPI
Park is 1 of 8 pediatrics providers in Lubbock and 1 of 351 in Texas.
NPI age
20 years
Enumerated 2005-11-09
Primary specialty
Pediatrics
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 351 active pediatrics providers in Texas.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
26% of peers hold multiple states
Subspecialties
0
47% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
3502 9th St, Suite 290
Lubbock, TX 794153300
📞 8067431540fax 8067433908
Mailing address
Po Box 5865
Lubbock, TX 794085865
📞 8067432898fax 8067432787

Specialties

  • Pediatrics Primary
    A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels,...
    TX license #E9904 taxonomy 2080P0202X

Identifiers

TypeValueNotes
01 (NM) 44268 PRESBYTERIAN COMMERCIAL
05 (NM) 44268
01 (TX) 85E551 BC/BS
01 (NM) A078 TRIWEST
05 (NM) V3884
01 (TX) 80896Z HMO BLUE

Practice context

Part of a multi-provider practice. 27 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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