Individual
CHUN WANG Y TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K3862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037007401
—
TX
05
—
037007403
—
TX
01
—
8028M0
BCBS
TX
01
—
8G9388
BCBS
TX
Enumeration date
07/18/2005
Last updated
10/14/2015
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