Organization
LUMIN HEALTH PHYSICIAN GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS S WON MD (OWNER)
(972) 255-5588
Entity
Organization
Contact information
Practice address
4301 N MACARTHUR BLVD STE 101, IRVING, TX 75038-6497
(972) 573-7822
(972) 255-6688
Mailing address
4301 N MACARTHUR BLVD STE 101, IRVING, TX 75038-6497
(972) 573-7822
(972) 255-6688
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
11/21/2011
Last updated
01/24/2018
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