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

Individual provider Vascular & Interventional Radiology Physician · NPI 1962436550

Dr. Jin Sup Park, MD is a Vascular & Interventional Radiology Physician in Houston, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
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

8619 Pasture View Ln
Houston, TX 77024-7039
Phone: (713) 686-0274
Fax: (713) 686-0274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence E8797 (TX)

Record details

NPI number1962436550
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 8, 2007

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