Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Jun Park, MD

Individual provider Pediatrics Physician · NPI 1063875292

Daniel Jun Park, MD is a Pediatrics Physician in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8288 S Broadway Ave
Tyler, TX 75703-5262
Phone: (903) 606-7060
Fax: (903) 606-7129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence S0046 (TX)

Record details

NPI number1063875292
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2016
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address8288 S Broadway Ave, Tyler, TX 75703-5262

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