# JOHN PANG, D.O., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518086495
- **Authorized official:** DR. JOHN J. PANG D.O. (OWNER)
- **Authorized official phone:** (972) 285-0221

## Contact information

- **Practice address:** 2858 N BELT LINE RD STE 600, SUNNYVALE, TX 75182-9388
- **Practice address phone:** (972) 285-0221
- **Practice address fax:** (972) 285-0223
- **Mailing address:** PO BOX 850636, MESQUITE, TX 75185-0636
- **Mailing address phone:** (972) 285-0221
- **Mailing address fax:** (972) 285-0223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | K5175 | TX | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 12/03/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080183431 | RAILROAD MEDICARE | TX |
| 01 | — | 0924714-05 | MEDICAID THSTEPS | TX |
| 05 | — | 092471401 | — | TX |