Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PARK CLINIC OF MANUAL MEDICINE, INC.
Active
Organization
PARK CLINIC OF MANUAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANG WON PARK DC (OWNER)
(214) 799-6582
Entity
Organization
Contact information
Practice address
4601 OLD SHEPARD PL, STE 401A, PLANO, TX 75093-5279
(214) 799-6582
Mailing address
4601 OLD SHEPARD PL, STE 401A, PLANO, TX 75093-5279
(214) 799-6582
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225476203
#2 NPI
TX
01
—
1639419757
# 1 NPI
—
Enumeration date
06/12/2013
Last updated
09/02/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up