Doctor profile · Federal record
Dr. Daniel Park, DO
Student in an Organized Health Care Education/Training Program · Longview, TX
- NPI 1093564304
- 2 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
701 E Marshall Ave Ste 400
Longview, TX 756015595
(903) 357-1434 - Mailing address
-
300 Nursery Ln Unit 101
Fort Worth, TX 761144465
Credentials & registration
- NPI registered
- May 2024 — 2 yrs on file
- Specialty taxonomy
- 390200000X — NUCC code
- State license (1)
- Texas #BP10088603
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093564304. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Becton, Dickinson and Company | 1 | $16.58 |
By nature of payment
Frequently asked questions
What is Dr. Daniel Park's medical specialty?
Dr. Daniel Park practices Student in an Organized Health Care Education/Training Program in Longview, TX.
Where does Dr. Daniel Park practice?
Dr. Daniel Park practices at 701 E Marshall Ave Ste 400, Longview, TX 756015595. Office phone: 9033571434.
What is Dr. Daniel Park's NPI?
Dr. Daniel Park's National Provider Identifier (NPI) is 1093564304, issued by NPPES.