Individual
MR. JOHN W EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
16633 DALLAS PKWY, SUITE 150, ADDISON, TX 75001-6816
(972) 380-0000
(972) 380-0042
Mailing address
16633 DALLAS PKWY, SUITE 150, ADDISON, TX 75001-6816
(972) 380-0000
(972) 380-0030
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
K7724
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
K7724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031373602
—
TX
Enumeration date
03/18/2006
Last updated
06/10/2016
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