Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taejun Park

Individual provider Military Health Care Provider · NPI 1215723648

Taejun Park is a Military Health Care Provider in Fort Sam Houston, Texas. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (210) 292-3410
Fax: (210) 916-2077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X

Record details

NPI number1215723648
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2025
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025

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