Individual
JESSICA JEN CHU WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 GASTON AVE, SUITE 550, DALLAS, TX 75246-1800
(214) 821-1177
(214) 821-1193
Mailing address
PO BOX 849931, DALLAS, TX 75284-0001
(214) 821-1177
(214) 821-1193
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
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