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

Peter Yong Soo Park, DO

Individual provider Internal Medicine Physician · NPI 1043672892

Peter Yong Soo Park, DO is a Diagnostic Radiology in Houston, Texas. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2016, 10 years ago. Practices with Kelsey-Seybold Medical Group, PLLC, a 942-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada and Texas.

Years since qualifying
10
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
NV, TX
In the registry since
2016
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

6431 Fannin St Msb 2.116
Houston, TX 77030-1501
Phone: (713) 500-7640
Fax: (713) 500-7647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15655 Cypress Wood Medical Dr Ste 100, Houston, TX 77014-1487 — (713) 442-1700

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence T3676 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence SL1170 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043672892
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 22, 2016
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2016 (10 years in practice)
Group practice Kelsey-Seybold Medical Group, Pllc — 942 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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