Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063875292 Individual Practitioner Male Practitioner

Dr. Daniel Jun Park , MD

Pediatrics • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Park, MD is a registered healthcare professional specializing in Pediatrics in Tyler, TX. Practice services are available at 8288 S BROADWAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8288 S Broadway Ave

Tyler, TX 757035262

Telephone 9036067060
Fax 9036067129

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.3 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
55 Specialists

Practicing in Tyler, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX S0046

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
NPI 1003881608

Doctor of Medicine (M.D.)

Dr. Andrea Ellis , MD

Family Medicine

NPI 1063661148

Doctor of Medicine (M.D.)

Dr. Roy Wadle , DO

Family Medicine

NPI 1194743278

Doctor of Osteopathic Medicine (D.O.)

Dr. Kurt Nielsen , MD

Emergency Medicine

NPI 1235275314

Doctor of Medicine (M.D.)

Dr. John Page , DO, PA

Family Medicine

NPI 1376549246

Doctor of Osteopathic Medicine (D.O.), Physician Assistant

Sonja Tiller , FNP-C

Nurse Practitioner - Family

NPI 1427449529

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 17, 2026

Registered at 8288 S BROADWAY AVE, TYLER, TX 757035262 (Tel: 9036067060)

📍
Updated Business Mailing Address March 17, 2026

Registered at 8288 S BROADWAY AVE, TYLER, TX 757035262 (Tel: 9036067060)

📍
Updated Practice Location September 20, 2024

Registered at 706 TURTLE CREEK DR, TYLER, TX 757011833 (Tel: 9035953942)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2021

Pediatrics (License #S0046 in TX)

NPI Profile Active April 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 04, 2016

Registered at 4900 MUELLER BLVD, SUITE 3S.066C, AUSTIN, TX 787233079 (Tel: 5123240165)

📍
Updated Business Mailing Address April 04, 2016

Registered at 4900 MUELLER BLVD, SUITE 3S.066C, AUSTIN, TX 787233079 (Tel: 5123240165)

👤
Provider Name / Credentials Updated April 04, 2016

Recorded as DANIEL PARK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2016

Pediatrics (License #BP10055839 in TX)

🟢
Initial NPI Registration & Enumeration April 04, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063875292
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2016
Last Update: March 17, 2026
Sole Proprietor: No

Mailing Address

8288 S Broadway Ave

Tyler, TX 757035262

Phone: 9036067060

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.