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Organization
JOHN PANG, D.O., P.A.
Active
Organization
JOHN PANG, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J. PANG D.O. (OWNER)
(972) 285-0221
Entity
Organization
Contact information
Practice address
2858 N BELT LINE RD STE 600, SUNNYVALE, TX 75182-9388
(972) 285-0221
(972) 285-0223
Mailing address
PO BOX 850636, MESQUITE, TX 75185-0636
(972) 285-0221
(972) 285-0223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K5175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080183431
RAILROAD MEDICARE
TX
01
—
0924714-05
MEDICAID THSTEPS
TX
05
—
092471401
—
TX
Enumeration date
03/29/2007
Last updated
12/03/2009
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