# PAK MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164813820
- **Authorized official:** DR. HO SUNG PAK D.O. (OWNER)
- **Authorized official phone:** (210) 902-9217

## Contact information

- **Practice address:** 5-4280 KUHIO HWY UNIT G210, PRINCEVILLE, HI 96722-5451
- **Practice address phone:** (210) 902-9217
- **Mailing address:** 1672 INDEPENDENCE DR STE 310, NEW BRAUNFELS, TX 78132-3898
- **Mailing address phone:** (830) 730-5025
- **Mailing address fax:** (830) 730-4207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 1597 | HI | Yes |

## Other

- **Enumeration date:** 02/16/2015
- **Last updated:** 01/21/2022
