Provider Demographics
NPI:1265858450
Name:NORTH TEXAS HOSPITALISTS, PLLC
Entity Type:Organization
Organization Name:NORTH TEXAS HOSPITALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-680-1110
Mailing Address - Street 1:8994 TOUR DR STE 210
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2036
Mailing Address - Country:US
Mailing Address - Phone:972-449-5900
Mailing Address - Fax:972-449-7100
Practice Address - Street 1:8994 TOUR DR STE 210
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2036
Practice Address - Country:US
Practice Address - Phone:972-449-5900
Practice Address - Fax:972-449-7100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-12
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty