Individual
JESSICA JEN CHU WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A104072
CA
208M00000X
Hospitalist Physician
M5971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AL360
BCBS
TX
Enumeration date
05/24/2007
Last updated
09/06/2013
Update your record
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