Individual
JAE WAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DAOM
Contact information
Practice address
6225 FM 2920 RD STE 130, SPRING, TX 77379-3474
(832) 463-4526
(832) 446-3631
Mailing address
6225 FM 2920 RD STE 130, SPRING, TX 77379-3474
(832) 463-4526
(832) 446-3631
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01892
TX
Other
Enumeration date
05/28/2019
Last updated
08/26/2020
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