Individual
PHENG M TANG
Active
Individual
PHENG M TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M4581
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184358302
—
TX
01
—
8EH543
BCBS
TX
01
—
P01446026
RR
TX
Enumeration date
10/05/2006
Last updated
05/06/2020
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