Individual ProviderHan Ki ParkThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansPractice Address6701 Fannin St, Houston, TX 77030-2316(832) 824-1000PECOS EnrollmentBased on the most recent information from CMS, provider Han Ki Park does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1518267970Provider TypeIndividualFull NamePark, Han KiCredentialMDGenderMaleSole ProprietorNoEnumeration Date11/1/2010Last Updated11/1/2010Contact InformationPractice LocationPractice Address6701 Fannin St, Houston, TX 77030-2316Phone(832) 824-1000FaxUnlisted FaxMailing LocationMailing Address2 Greenway Plz, Suite 300, Houston, TX 77046-0297PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208G00000XPrimaryDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicense43223Texas