Individual
JUYOUNG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
4330 MEDICAL DR STE 325, SAN ANTONIO, TX 78229-3389
(210) 615-7700
Mailing address
4330 MEDICAL DR STE 325, SAN ANTONIO, TX 78229-3389
(210) 615-7700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1016762
TX
363LA2100X
Acute Care Nurse Practitioner
1016762
TX
Other
Enumeration date
11/04/2020
Last updated
04/05/2022
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