Organization Active NPI

Daniel Hyun Mdpa

  • Neurology Physician
  • San Antonio, TX
National Provider Identifier
1902087240
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L3346 Issued in TX
Legal business name
DANIEL HYUN MDPA
Practice address
3922 Wiseman Blvd Ste 304
San Antonio, TX 78251-1685
Phone
(210) 226-3326
Fax
(210) 226-3371
NPI assigned
Nov 15, 2007
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Dong Wook Hyun, MDNPI 1194726448
Title
President
Phone
(210) 226-3326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X L3346 TX Primary

Addresses

Primary practice location

3922 Wiseman Blvd Ste 304
San Antonio, TX 78251-1685

Mailing address

3922 Wiseman Blvd Ste 304
San Antonio, TX 78251-1685
Phone (210) 226-3326

Other identifiers 1

IdentifierTypeStateIssuer
164713301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040424000425 TX Part B Supplier - Clinic/Group Practice 6608862503 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

315 N San Saba
Ste 1110
San Antonio, TX 78207
Phone (210) 226-3326

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1902087240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 WISEMAN BLVD STE 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511685",
            "telephone_number": "210-226-3326",
            "fax_number": "210-226-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 WISEMAN BLVD STE 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511685",
            "telephone_number": "210-226-3326",
            "fax_number": "210-226-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL HYUN MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "HYUN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DONG WOOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-226-3326",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L3346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164713301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.