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

Dr. Kevin Park, DO

Individual provider Family Medicine Physician · NPI 1548840705

Dr. Kevin Park, DO is an Internal Medicine in Pearland, Texas. Qualified in 2021, 5 years ago. Practices with Memorial Hermann Medical Group, a 753-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3203 Broadway St
Pearland, TX 77581-1414
Phone: (281) 997-3547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 — (337) 494-2023

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence U9050 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence U9050 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1548840705
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address3203 Broadway St, Pearland, TX 77581-1414

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Memorial Hermann Medical Group — 753 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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