Provider Demographics
NPI:1902087240
Name:DANIEL HYUN MDPA
Entity Type:Organization
Organization Name:DANIEL HYUN MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:DONG WOOK
Authorized Official - Last Name:HYUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-226-3326
Mailing Address - Street 1:3922 WISEMAN BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-1685
Mailing Address - Country:US
Mailing Address - Phone:210-226-3326
Mailing Address - Fax:210-226-3371
Practice Address - Street 1:3922 WISEMAN BLVD STE 304
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-1685
Practice Address - Country:US
Practice Address - Phone:210-226-3326
Practice Address - Fax:210-226-3371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL33462084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX164713301Medicaid
TX164713301Medicaid