Organization
TEXAS COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENBAO WANG MD (CEO)
(646) 596-2271
Entity
Organization
Contact information
Practice address
7801 COIT RD, PLANO, TX 75024-3418
(646) 596-2271
Mailing address
7801 COIT RD, PLANO, TX 75024-3418
(646) 596-2271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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