NPIMap

Organization Active NPI

Pak Medical Group, PLLC

  • Internal Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1992297816
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PAK MEDICAL GROUP, PLLC
Practice address
1762 E Common St
New Braunfels, TX 78130-6059
Phone
(830) 730-4131
Fax
(833) 449-3575
NPI assigned
Jun 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Tomasa O'Hern
Title
Director of Operations
Phone
(210) 288-3321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1762 E Common St
New Braunfels, TX 78130-6059

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 343-6833

Other practice location 1

1770 State Highway 46 W
New Braunfels, TX 78132-5391
Phone (830) 631-8182

Other practice location 2

1770 State Highway 46 W Ste 1201
New Braunfels, TX 78132-5393
Phone (830) 730-4375

Other practice location 3

1770 State Highway 46 W Ste 1200
New Braunfels, TX 78132-5391
Phone (830) 730-4125

Other identifiers 2

IdentifierTypeStateIssuer
3947798-02MedicaidTX
3947798-01MedicaidTX

Other names 1

  • Pak Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180913002148 TX Part B Supplier - Clinic/Group Practice 4486904315 Receives reassigned benefits from 13 practitioners
Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory

Locations

816 Everyday Way
Cibolo, TX 78108
Phone (210) 538-3812

221 Hunters Vlg
Ste B
New Braunfels, TX 78132
Phone (830) 627-8300

1770 State Highway 46 W
Ste 1200
New Braunfels, TX 78132
Phone (830) 730-4125

1260 River Acres Dr
New Braunfels, TX 78130
Phone (830) 620-0956

1770 State Highway 46 W
#1200
New Braunfels, TX 78132

944 S Highway 123 Byp
Seguin, TX 78155
Phone (830) 379-1666

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1992297816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-343-6833",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 E COMMON ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306059",
            "telephone_number": "830-730-4131",
            "fax_number": "833-449-3575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 State Highway 46 W",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781325391",
            "country_code": "US",
            "telephone_number": "830-631-8182",
            "fax_number": "830-302-2087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1770 State Highway 46 W Ste 1201",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781325393",
            "country_code": "US",
            "telephone_number": "830-730-4375",
            "fax_number": "830-730-4203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1770 State Highway 46 W Ste 1200",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781325391",
            "country_code": "US",
            "telephone_number": "830-730-4125",
            "fax_number": "830-312-7896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAK MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "O'HERN",
        "authorized_official_first_name": "TOMASA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "210-288-3321"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3947798-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3947798-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pak Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pak Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.