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NPI Code Detail

MEDICARE: JUNE CHRISTINE WON OD

MEDICARE: JUNE CHRISTINE WON OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152WC0802XCorneal and Contact Management Optometrist5286TGTX
2152W00000XOptometrist5286TGTX

General Provider Information

NPI Number : 1922052331
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUNE CHRISTINE WON OD
Provider Business Mailing Address
First Line : P.O. BOX 457
Second Line :
City : BARKER
State : TX
Zip : 77413
Country : US
Telephone Number : 281-644-4471
Fax Number : 281-644-4473
Provider Business Practice Location Address
First Line : 25108 MARKET PLACE DR
Second Line :
City : KATY
State : TX
Zip : 77494-4430
Country : US
Telephone Number : 281-644-4471
Fax Number : 281-644-4473
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 08/28/2017

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