NPI age
19 years
Enumerated 2006-07-10
● Active
Type 1 · Individual
DR. Jin Sup Park, MD
Park is 1 of 104 radiology providers in Houston and 1 of 408 in Texas.
Primary specialty
Radiology
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 408 active radiology providers in Texas.
NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
25% of peers hold multiple states
Subspecialties
0
59% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
8619 Pasture View Ln
Houston, TX 770247039
Mailing address
8619 Pasture View Ln
Houston, TX 770247039
Specialties
-
Radiology PrimaryA radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new radiology provider has been added in Houston in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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