What is Taejun Park's NPI number?

Taejun Park's National Provider Identifier (NPI) is 1215723648, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Taejun Park's specialty?

Taejun Park is listed in the NPPES registry with a primary specialty of Military Health Care Provider (Other Service Providers).

Where is Taejun Park located?

Taejun Park's practice location on file with NPPES is 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504.

What is Taejun Park's phone number?

The practice phone number listed in the NPPES registry for Taejun Park is (210) 292-3410.

Is Taejun Park's NPI active?

Yes — Taejun Park's NPI (1215723648) is active in the NPPES registry as of the last update on 2025-05-02.

IndividualActive

Taejun Park

NPI 1215723648 · Military Health Care Provider · Fort Sam Houston, TX

Taejun Park is a Military Health Care Provider provider in Fort Sam Houston, TX (NPI 1215723648).

Provider details

NPI number: 1215723648
Entity type: Individual
Primary specialty: Military Health Care ProviderOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Military Health Care ProviderPrimary171000000X
Other Service Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3551 Roger Brooke Dr

Fort Sam Houston, TX 78234-4504

Phone: (210) 292-3410

Fax: (210) 916-2077

Street-level locationGet directions

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Mailing address