Provider Demographics
NPI:1831519040
Name:PAEK, JONATHAN (MD)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:PAEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9915 BARKER CYPRESS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1203
Mailing Address - Country:US
Mailing Address - Phone:832-533-3730
Mailing Address - Fax:832-533-3731
Practice Address - Street 1:9915 BARKER CYPRESS RD STE 200
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1203
Practice Address - Country:US
Practice Address - Phone:281-737-1555
Practice Address - Fax:281-737-1556
Is Sole Proprietor?:No
Enumeration Date:2014-04-27
Last Update Date:2024-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXS0043208VP0014X, 207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine