# JOHN C.H. WANG, DO, PA

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

## Provider details

- **NPI number:** 1629289228
- **Authorized official:** JOHN C WANG DO (PRESIDENT)
- **Authorized official phone:** (903) 408-5129

## Contact information

- **Practice address:** 4211 JOE RAMSEY BLVD E, SUITE 203, GREENVILLE, TX 75401-7852
- **Practice address phone:** (903) 408-5129
- **Practice address fax:** (903) 408-5121
- **Mailing address:** PO BOX 1943, ROCKWALL, TX 75087-2043
- **Mailing address phone:** (903) 408-5129
- **Mailing address fax:** (903) 408-5121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | L3866 | TX | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/22/2020
