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Dr. Soon Wook Kwon , MD

General Practice β€’ Jbsa Lackland, TX

Active NPI 1376397422 Individual Practitioner Male Practitioner
Practice location in NPPES

1100 Wilford Hall Loop
Jbsa Lackland, TX 782365638

Call 2102925350 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1100 Wilford Hall Loop

Jbsa Lackland, TX 782365638

Telephone 2102925350

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jbsa Lackland and Texas

30 active clinicians are listed under General Practice with a practice address in Jbsa Lackland, TX (1,066 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jbsa Lackland

0% of these 30 clinicians have the CMS telehealth indicator.

3.3% of these 30 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-15
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES NE 37044

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1003317744

Doctor of Osteopathic Medicine (D.O.)

NPI 1154760353

Doctor of Osteopathic Medicine (D.O.)

NPI 1528046331

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 15, 2026

Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638 (Tel: 2102925350)

πŸ“
Updated Business Mailing Address February 18, 2026

Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638 (Tel: 2102925350)

πŸ‘€
Provider Name / Credentials Updated January 06, 2026

Recorded as SOON KWON, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2026

General Practice (license number reported to NPPES: NE 37044)

βœ…
NPI Profile Active April 15, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 15, 2024

Registered at 18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 799065327 (Tel: 9157420576)

πŸ“
Business Mailing Address (Initial Record) April 15, 2024

Registered at 18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 799065327 (Tel: 9157420576)

πŸ‘€
Provider Name / Credentials (Initial Record) April 15, 2024

Recorded as SOON KWON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 15, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376397422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2024
Last Update: July 15, 2026
Sole Proprietor: No

Mailing Address

1100 Wilford Hall Loop

Jbsa Lackland, TX 782365638

Phone: 2102925350

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.