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

Dr. Grace Eunjin Park, MD

Individual provider General Practice Physician · NPI 1982977278

Dr. Grace Eunjin Park, MD is an Urology in El Paso, Texas. Qualified in 2012, 14 years ago. Practices with Las Cruces Physician Practices, LLC, a 108-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
14
Licensed in
NE
In the registry since
2012
Specialties on file
2
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

5005 N Piedras St
El Paso, TX 79930-5097
Phone: (915) 742-1900
Fax: (915) 742-9488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 27457 (NE)
General Practice Physician Taxonomy 208D00000X · Licence 27457 (NE)

Record details

NPI number1982977278
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 16, 2012
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021
Mailing address5005 N Piedras St, El Paso, TX 79930-5097

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Las Cruces Physician Practices, Llc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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