Organization
SPINE & ORTHOPEDIC INSTITUTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS WON MD (SURGEON)
(972) 399-9012
Entity
Organization
Contact information
Practice address
4301 N MACARTHUR BLVD STE 100, IRVING, TX 75038-6497
(972) 399-9012
Mailing address
18208 PRESTON RD, D-9 #355, DALLAS, TX 75252
(972) 399-9012
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
L9018
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
L9018
TX
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
L9018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L9018
TEXAS MEDICAL LICENSE
TX
Enumeration date
08/01/2018
Last updated
11/20/2018
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