| Allied Institute Of Medicine, Pllc | |
|
4360 Greco Dr. San Antonio TX 78222-2725 | |
| (210) 648-8200 | |
| (210) 648-8204 |
| Full Name | Allied Institute Of Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4360 Greco Dr., San Antonio, Texas |
| Authorized Official Name and Position | David Ho Sung Pak (CEO) |
| Authorized Official Contact | 2106488200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Institute Of Medicine, Pllc 4360 Greco Dr San Antonio TX 78222-2725 Ph: (210) 648-8200 | Allied Institute Of Medicine, Pllc 4360 Greco Dr. San Antonio TX 78222-2725 Ph: (210) 648-8200 |
| NPI Number | 1023028669 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 11/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023028669 | NPI | - | NPPES |
| 0060EV | Other | TX | BLUE CROSS BLUE SHIELD |
| 201626301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K3819 (Texas) | Primary |
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