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Active NPI 1811554561 Individual Practitioner Male Practitioner

Jae Wan Park , DAOM

Acupuncturist • Spring, TX

Professional Overview & Biography Verified Profile Summary

Jae Wan Park, DAOM is a registered healthcare professional specializing in Acupuncturist in Spring, TX. Practice services are available at 6225 FM 2920 RD STE 130 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6225 Fm 2920 Rd Ste 130

Spring, TX 773793474

Telephone 8324634526
Fax 8324463631

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Spring, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Spring, TX (1088 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-26
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License TX AC01892

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Kim Truong , LAC

Acupuncturist

NPI 1447768437

Licensed Acupuncturist

Dr. Maria Siton , DPT

Physical Therapist

NPI 1841472834

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated August 26, 2020

Recorded as JAE WAN PARK, DAOM

NPI Profile Active May 28, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2019

Registered at 6225 FM 2920 RD STE 130, SPRING, TX 773793474 (Tel: 8324634526)

📍
Updated Business Mailing Address May 28, 2019

Registered at 6225 FM 2920 RD STE 130, SPRING, TX 773793474 (Tel: 8324634526)

👤
Provider Name / Credentials Updated May 28, 2019

Recorded as JAE WAN PARK, MAOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2019

Acupuncturist (License #AC01892 in TX)

🟢
Initial NPI Registration & Enumeration May 28, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811554561
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2019
Last Update: August 26, 2020
Sole Proprietor: No

Mailing Address

6225 Fm 2920 Rd Ste 130

Spring, TX 773793474

Phone: 8324634526

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.