ISSAC DONHYUN LIM
NPI 1083424022
Military Health Care Provider in Fort Sam Houston, TX
- Individual
- Male
- Military Health Care Provider
About ISSAC LIM
This page provides the complete NPI Profile along with additional information for Issac Lim, a provider established in Fort Sam Houston, Texas with a medical specialization in Military Health Care Provider. The healthcare provider is registered in the NPI registry with number 1083424022 assigned on January 2025. The practitioner's primary taxonomy code is 171000000X. The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1083424022 Verify this NPI
- Provider Name
- ISSAC DONHYUN LIM
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3551 ROGER BROOKE DR FORT SAM HOUSTON, TX 78234
- Location Phone
- (210) 916-3400
- Mailing Address
- 3551 ROGER BROOKE DR FORT SAM HOUSTON, TX 78234
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-11-2025
- Last Update Date
- 04-30-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider
- Taxonomy Code
- 171000000X
- Type
- Other Service Providers
- Taxonomy Description
- Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
SAN ANTONIO, TX 78234
SAN ANTONIO, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
SAN ANTONIO, TX 78234
SAN ANTONIO, TX 78234
FORT SAM HOUSTON, TX 78234
SAN ANTONIO, TX 78234
FORT SAM HOUSTON, TX 78234
JBSA FT SAM HOUSTON, TX 78234
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083424022, enumerated as an "individual" on January 11, 2025.
The provider is located at 3551 ROGER BROOKE DR FORT SAM HOUSTON, TX 78234 and the phone number is (210) 916-3400.
Military Health Care Provider with taxonomy code 171000000X.
