Individual
JANNIE TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-2401
(432) 640-4606
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-2401
(432) 640-4606
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F8699
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170650907
—
TX
Enumeration date
07/07/2006
Last updated
01/10/2013
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