Individual
MYOUNGSOOK JEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
9939 TEXAS 151 ACCESS RD, SAN ANTONIO, TX 78251
(210) 706-7800
Mailing address
7400 MERTON MINTER BOULVARD, SAN ANTONIO, TX 78229
(210) 617-5300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
788220
TX
363LA2200X
Adult Health Nurse Practitioner
788220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281971602
—
TX
Enumeration date
09/27/2012
Last updated
02/18/2026
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