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Organization
ALLIED INSTITUTE OF MEDICINE, PLLC
Active
Organization
ALLIED INSTITUTE OF MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HO SUNG PAK D.O. (CEO)
(210) 648-8200
Entity
Organization
Contact information
Practice address
4360 GRECO DR., SAN ANTONIO, TX 78222-2725
(210) 648-8200
(210) 648-8204
Mailing address
4360 GRECO DR, SAN ANTONIO, TX 78222-2725
(210) 648-8200
(210) 648-8204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K3819
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060EV
BLUE CROSS BLUE SHIELD
TX
05
—
201626301
—
TX
Enumeration date
08/08/2006
Last updated
11/01/2010
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