National Provider Identifier Database

CLINTON S PARK, MD – NPI #1295932242
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

CLINTON S PARK, MD
500 S HENDERSON ST STE 200
FORT WORTH, TX76104-2154
Phone: 817-413-1500
Fax: 817-413-1499
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X
Radiation Oncology 2085R0203X

* Indicates primary specialty

NPI Profile & details for CLINTON S PARK

NPI Number 1295932242
Credentials MD
Entity Individual
Enumeration date 07/02/2007
Last updated 12/09/2021 - About 4 years ago
Sole proprietor1 No
Identifiers
  • TX License #: BP10022820
  • TX License #: N3228
  • TX Medicaid: 202476201
  • TX Medicaid: 202476202
  • TX Other: 8CA240 BLUECROSS BLUESHIELD OF TEXAS
  • TX Other: P00764078 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CLINTON S PARK, MD

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