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Organization
STONEBRIDGE ADULT MEDICINE PA
Active
Organization
STONEBRIDGE ADULT MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUI PAUL WANG MD (OWNER)
(972) 415-2249
Entity
Organization
Contact information
Practice address
3550 PARKWOOD BLVD, STE 100, FRISCO, TX 75034-1903
(214) 618-9715
(214) 618-9716
Mailing address
3550 PARKWOOD BLVD, STE 100, FRISCO, TX 75034-1903
(214) 618-9715
(214) 618-9716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M0601
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073RZ
BLUECROSS BLUESHIELD
TX
Enumeration date
07/23/2008
Last updated
03/04/2009
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