Organization · NPI-2

Lumin Health Physician Group, PA

· Rockwall, TX

NPI number1861994337
StatusActive
Last updated in NPPESMar 1, 2018

Details

NPI
1861994337
Entity type
Organization (NPI-2)
Legal business name
Lumin Health Physician Group, PA
Organization subpart
No
Enumeration date
Mar 1, 2018
Last updated
Mar 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0000X ––Yes

Other names

  • Spinecare Institute, PA (Former Legal Business Name)

Practice location

4450 Tubbs Road
Rockwall, TX 75032

Phone 972-255-5588 · Fax 972-722-1944

Mailing address

4090 Mapleshade Lane Suite 220
Plano, TX 75093

Phone 469-680-4293 · Fax 214-313-9272

Authorized official

Douglas S Won
MD
9722555588

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