MRS. JEONG EUN OH


Address: 5301 Alamo Ranch Parkway, San Antonio, TX 78253
Phone: 2106889311

MRS. JEONG EUN OH (NPI# 1053732537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053732537
Entity Type Individual
Full Name MRS. JEONG EUN OH
Credential FNP
Practice Address 5301 Alamo Ranch Parkway
San Antonio
TX 78253
Mailing Address 6627 San Miguel Way
Converse
TX 78109-3773
Practice Telephone 2106889311
Enumeration Date 2013-12-30
Last Update Date 2013-12-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
845855 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 15164 05

Office Location

Street Address 5301 ALAMO RANCH PARKWAY
City SAN ANTONIO
State TX
Zip Code 78253

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1508425554 Michael Lavaughn Nash Physical Therapist 11919 Culebra Road, Bldg. 1, Suite 101, San Antonio, TX 78253 2019-06-12
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City SAN ANTONIO
Zip Code 78253

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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