Sungjin Park is one of 1,330 physician assistants practicing in Dallas, Texas .
Sungjin Park practices with Lisbon Tech LLC.
Registry record (NPPES)
NPI
1730546078
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
10400 N Central Expy
Enumerated
Jan 18, 2016
Record last updated
Jan 15, 2019
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
10400 N Central ExpyDallas , TX 75231
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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