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

Dr. Peter Park, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740049311

Dr. Peter Park, MD is a Student in an Organized Health Care Education/Training Program in Austin, Texas. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
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

901 W Ben White Blvd
Austin, TX 78704-6903
Phone: (512) 816-5648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1740049311
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 18, 2024
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address901 W Ben White Blvd, Austin, TX 78704-6903

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