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NPI Code Detail

MEDICARE: JOHN J BYUN MD

MEDICARE:   JOHN J BYUN  MD
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
12084P0800XPsychiatry PhysicianT4716TX

General Provider Information

NPI Number : 1932763620
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN J BYUN MD
Provider Business Mailing Address
First Line : 6800 PARK TEN BLVD STE 200S
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78213-4293
Country : US
Telephone Number : 210-261-1060
Fax Number : 210-261-1821
Provider Business Practice Location Address
First Line : 1515 HERITAGE DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75069-3256
Country : US
Telephone Number : 972-562-0190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2019
Last Update Date : 03/10/2026

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