| Daniel Hyun Mdpa | |
|
3922 Wiseman Blvd Ste 304 San Antonio TX 78251-1685 | |
| (210) 226-3326 | |
| (210) 226-3371 |
| Full Name | Daniel Hyun Mdpa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3922 Wiseman Blvd Ste 304, San Antonio, Texas |
| Authorized Official Name and Position | Daniel Dong Wook Hyun (PRESIDENT) |
| Authorized Official Contact | 2102263326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Hyun Mdpa 3922 Wiseman Blvd Ste 304 San Antonio TX 78251-1685 Ph: (210) 226-3326 | Daniel Hyun Mdpa 3922 Wiseman Blvd Ste 304 San Antonio TX 78251-1685 Ph: (210) 226-3326 |
| NPI Number | 1902087240 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Medicare PECOS PAC ID | 6608862503 |
|---|---|
| Medicare Enrollment ID | O20040424000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902087240 | NPI | - | NPPES |
| 164713301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | L3346 (Texas) | Primary |
| Provider Name | Daniel D Hyun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194726448 PECOS PAC ID: 3870589773 Enrollment ID: I20040424000432 |
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