Provider Demographics
NPI:1164155586
Name:HYUN, JEANNIE S
Entity Type:Individual
Prefix:MRS
First Name:JEANNIE
Middle Name:S
Last Name:HYUN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JEANNIE
Other - Middle Name:S
Other - Last Name:HYUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3922 WISEMAN BLVD STE 304A
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-1685
Mailing Address - Country:US
Mailing Address - Phone:210-383-0985
Mailing Address - Fax:888-311-6240
Practice Address - Street 1:3922 WISEMAN BLVD STE 304A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-1685
Practice Address - Country:US
Practice Address - Phone:210-383-0985
Practice Address - Fax:888-311-6240
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-04
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based