Organization
CHUN WANG TAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUN WANG Y TAN MD (DIRECTOR)
(210) 731-0131
Entity
Organization
Contact information
Practice address
323 W MULBERRY AVE, SAN ANTONIO, TX 78212-3236
(210) 731-0131
(210) 731-0131
Mailing address
323 W MULBERRY AVE, SAN ANTONIO, TX 78212-3236
(210) 731-0131
(210) 731-0131
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K3862
TX
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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