Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jae Wan Park, DAOM

Individual provider Acupuncturist · NPI 1811554561

Jae Wan Park, DAOM is an Acupuncturist in Spring, Texas. Licensed in Texas. Registered with an NPI since 2019.

Licensed in
TX
In the registry since
2019

Practice location Address checks out

6225 Fm 2920 Rd Ste 130
Spring, TX 77379-3474
Phone: (832) 463-4526
Fax: (832) 446-3631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC01892 (TX)

Record details

NPI number1811554561
Entity typeIndividual (Type 1)
GenderMale
Credentials DAOM
Sole proprietorNo
NPI enumeratedMay 28, 2019
Last updated in NPPESAugust 26, 2020
Certification dateAugust 26, 2020
Mailing address6225 Fm 2920 Rd Ste 130, Spring, TX 77379-3474

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