P Praxis·MD
● Active Type 1 · Individual

Daniel Ilwoo Park, MD

Internal Medicine·Jbsa Ft Sam Houston, TX· NPI 1376070359 · Enumerated 2017 · 9 years on NPI
Park is 1 of 48 internal medicine providers in Jbsa Ft Sam Houston and 1 of 12343 in Texas.
NPI age
9 years
Enumerated 2017-05-22
Primary specialty
Internal Medicine
Licensed in
NE
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 12343 active internal medicine providers in Texas.

NPI age
9 years
↓ 8 yr below median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-05Enumerated in NPPES
2017 2026

Where they practice

Practice location
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 782344504
📞 2109164808fax 2109163366
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
📞 2109164808

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
9040 Jackson Ave
Tacoma, WA 984310001
📞 2539680369
Location 3
Building S-555
Apo, AP 96271
📞 3157375631

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    NE license #31126 taxonomy 207R00000X

Practice context

Part of a multi-provider practice. 623 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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