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

Dr. Jin Sup Park, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1962436550

Dr. Jin Sup Park, MD is a Vascular & Interventional Radiology Physician in Houston, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
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

8619 Pasture View Ln
Houston, TX 77024-7039
Phone: (713) 686-0274
Fax: (713) 686-0274
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Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence E8797 (TX)

Record details

NPI number1962436550
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 8, 2007
Mailing address8619 Pasture View Ln, Houston, TX 77024-7039

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