Individual
DOUGLAS S WON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 N MACARTHUR BLVD, SUITE 101, IRVING, TX 75038-6497
(972) 255-5588
(972) 255-6688
Mailing address
PO BOX 202737, DALLAS, TX 75320-2737
(972) 255-5588
(972) 255-6688
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
L9018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0047LY
BLUE CROSS
TX
05
—
171385101
—
TX
01
—
P00218970
RAILROAD MEDICARE
TX
Enumeration date
06/07/2006
Last updated
02/02/2010
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