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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