Mijeong Park, CPNP - Nurse Practitioner in Houston, TX

Mijeong Park, CPNP is a Nurse Practitioner - Pediatrics based in Houston, Texas. Mijeong Park is licensed to practice in Texas (license number AP135474) and her current practice location is 12015 Louetta Rd Ste 100, Houston, Texas. She can be reached at her office (for appointments etc.) via phone at (281) 664-2152.

NPI number for Mijeong Park is 1710354907 and her current mailing address is 27721 State Highway 249 Ste 100, Tomball, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710354907.

Contact Information

Mijeong Park, CPNP
12015 Louetta Rd Ste 100,
Houston, TX 77070-1148
(281) 664-2152
(281) 257-3514

Map and Direction




Provider's Profile

Full NameMijeong Park
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location12015 Louetta Rd Ste 100, Houston, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710354907
  • Provider Enumeration Date: 08/24/2015
  • Last Update Date: 06/11/2019

Medical Identifiers

Medical identifiers for Mijeong Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710354907NPI-NPPES
1579732OtherNCWELLPATH
1710354907OtherNCHUMANA
1710354907OtherNCDOCTORS DIRECT
1710354907OtherNCHEALTHNET FEDERAL SERVICES
298447OtherNCMEDCOST
4632274OtherNCCOVENTRY NATIONAL - COVENTRY PPO
FH4002315OtherNCFIRST CAROLINA CARE
1579732OtherNCCOVENTRY OF THE CAROLINAS
1710354907MedicaidTX
4948746OtherNCAETNA
135452367OtherNCPHCS/MULTIPLAN
1710354907OtherNCHEALTHSMART
1710354907MedicaidNC
19EFKOtherNCBCBS OF NC
3455644OtherNCCIGNA/GREATWEST
5707800OtherNCUNITED HEALTHCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 5007911 (North Carolina)Secondary
363LP0200XNurse Practitioner - Pediatrics AP135474 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mijeong Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mijeong Park, CPNP
27721 State Highway 249 Ste 100,
Tomball, TX 77375-6579

Ph: (281) 357-5115
Mijeong Park, CPNP
12015 Louetta Rd Ste 100,
Houston, TX 77070-1148

Ph: (281) 664-2152

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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