| Lumincare Physician Group, Pa | |
|
1000 North Preston Road Suite 60 Prosper TX 75078 | |
| (469) 342-7010 | |
| (972) 347-6896 |
| Full Name | Lumincare Physician Group, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 North Preston Road Suite 60, Prosper, Texas |
| Authorized Official Name and Position | Douglas S Won (MD) |
| Authorized Official Contact | 9722555588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumincare Physician Group, Pa 4090 Mapleshade Lane Suite 220 Plano TX 75093-0025 Ph: (469) 680-4293 | Lumincare Physician Group, Pa 1000 North Preston Road Suite 60 Prosper TX 75078 Ph: (469) 342-7010 |
| NPI Number | 1265934749 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 03/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265934749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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