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Individual
YAN WANG
Active
Individual
YAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11725TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11725TG
LICENSE
TX
Enumeration date
07/10/2026
Last updated
07/10/2026
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