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Organization
LUMINCARE PHYSICIAN GROUP, PA
Active
Organization
LUMINCARE PHYSICIAN GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS S WON (MD)
(972) 255-5588
Entity
Organization
Contact information
Practice address
11350 US HWY 380 SUITE 100, CROSSROADS, TX 76227-6497
(214) 296-2945
(940) 365-9656
Mailing address
4090 MAPLESHADE LANE SUITE 220, PLANO, TX 75093-0025
(469) 680-4293
(214) 313-9272
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/27/2015
Last updated
03/01/2018
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