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NPI 1902087240

NPI 1902087240 : DANIEL HYUN MDPA : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1902087240
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    Entity Type          |    Organization 
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    Legal Business Name  |    DANIEL HYUN MDPA 
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Dates
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    Enumeration Date     |    11/15/2007
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    Last Update Date     |    03/21/2023
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Provider Practice Location Address
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    Address Line         |    3922 WISEMAN BLVD STE 304 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78251-1685
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    Country              |    US
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    Telephone            |    210-226-3326
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    Fax                  |    210-226-3371
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Provider Business Mailing Address
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    Address Line         |    3922 WISEMAN BLVD STE 304 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78251-1685
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    Country              |    US
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    Telephone            |    210-226-3326
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    Fax                  |    210-226-3371
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     DANIEL DONG WOOK HYUN 
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    Credential           |    MD
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    Telephone            |    210-226-3326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    L3346
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    License Number State |    TX
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