Individual provider · Type 1 NPI

Min Jae Jung

Student in an Organized Health Care Education/Training Program · San Antonio, TX

NPI number 1699619031 Active

Practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Call (210) 358-4000 Map

Mailing address

102 Herweck Dr
San Antonio, TX 78213-3329

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699619031

Min Jae Jung's National Provider Identifier is 1699619031, issued on Apr 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Antonio, TX. The record was last updated on Apr 16, 2026.