Individual
JEFFREY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3501 N MACARTHUR BLVD STE 500, IRVING, TX 75062-3675
(972) 256-3700
(866) 630-6348
Mailing address
3501 N MACARTHUR BLVD STE 500, IRVING, TX 75062-3675
(972) 256-3700
(866) 630-6348
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
OT014145
PA
207V00000X
Obstetrics & Gynecology Physician
Primary
Q5598
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200603370 A
—
OK
05
—
348442001
—
TX
05
—
348442002
—
TX
05
—
94303321
—
NM
Enumeration date
05/11/2011
Last updated
10/16/2020
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