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

Tae J. Park, MD

Individual provider Internal Medicine Physician · NPI 1346297660

Tae J. Park, MD is an Internal Medicine in Dallas, Texas. Graduated from New York Medical College in 2002, 24 years ago. Practices with Suvida Healthcare Npho, a 41-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
24
Trained at
New York Medical College
Licensed in
CA, TX
In the registry since
2006
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

306 S Hampton Rd Ste 322
Dallas, TX 75208-5617
Phone: (469) 501-9205
Fax: (469) 629-1179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence S1480 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence A90047 (CA)

Record details

NPI number1346297660
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 30, 2006
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2002 (24 years in practice)
Group practice Suvida Healthcare Npho — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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