{"npi":"1255428553","type":"NPI-1","status":"active","name":{"display":"In Seok Park MD","other":[],"first":"IN SEOK","last":"PARK","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"208M00000X","description":"Hospitalist","primary":false,"state":"TX","license":"L2531"},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"TX","license":"L2531"}]},"addresses":[{"purpose":"LOCATION","street_1":"7330 SAN PEDRO AVE","city":"SAN ANTONIO","state":"TX","postal_code":"782166235","country_code":"US","street_2":"STE. 405","phone":"2103442673","fax":"2103442649"},{"purpose":"MAILING","street_1":"7330 SAN PEDRO AVE","city":"SAN ANTONIO","state":"TX","postal_code":"782166235","country_code":"US","street_2":"STE. 405","phone":"2103442673","fax":"2103442649"}],"license":{"state":"TX","number":"L2531"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1535320-02","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110510000113","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"TX","pac_id":"5193901155"}]},"enumeration_date":"2006-10-06","last_updated":"2024-06-17","_meta":{"source":"NPPES","snapshot_date":"2024-06-17","doc_url":"https://findmynpi.com/api"}}