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NPI Code Detail

MEDICARE: JOHN H CHOE M.D.

MEDICARE: JOHN H CHOE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianM6567TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11588614416OTHERTXNPI - INDIVIDUAL

General Provider Information

NPI Number : 1588614416
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN H CHOE M.D.
Provider Business Mailing Address
First Line : 17802 WILD BASIN
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-1614
Country : US
Telephone Number : 210-861-1054
Fax Number : 702-951-5452
Provider Business Practice Location Address
First Line : 10103 W LOOP 1604 N STE 101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78254-9716
Country : US
Telephone Number : 210-900-9390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 03/23/2018

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Directions to “ JOHN H CHOE M.D.” Practice Location

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