JAE WAN PARK DAOM
NPI 1811554561
Acupuncturist in Spring, TX

Active since May 28, 2019
6225 FM 2920 RD STE 130, SPRING, TX 77379(832) 463-4526(832) 446-3631 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 26, 2020, May 28, 2019 (2 updates tracked since 2019).

About Jae Wan Park Daom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAE WAN PARK DAOM (NPI 1811554561) is an individual acupuncturist in Spring, Texas, licensed in Texas (AC01892) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1811554561
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameJAE WAN PARKCredential: DAOM
Location Address6225 FM 2920 RD STE 130Spring, TX 77379-3474
Mailing Address6225 Fm 2920 Rd Ste 130Spring, TX 77379-3474 · (832) 463-4526 · Fax (832) 446-3631
Fax(832) 446-3631
Sole ProprietorNo
Enumeration DateMay 28, 2019
Last NPPES UpdateAugust 26, 20202 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
NPI 1811554561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in TX · AC01892
Definition
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.
6225 FM 2920 RD STE 130, Spring, TX 77379

Other Names 1

Professional Name (2)John Park Daom

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Wan Park's NPI number?

The NPI number for Jae Wan Park is 1811554561. It was assigned to this individual provider in the NPPES registry on May 28, 2019. The provider is also known as John Park Daom.

Where is Jae Wan Park located?

Jae Wan Park practices at 6225 Fm 2920 Rd Ste 130, Spring, TX 77379. The listed phone number is (832) 463-4526.

What is Jae Wan Park's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Jae Wan Park was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.