Individual
JENNIFER WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-2830
(713) 745-0422
Mailing address
2523 STANMORE DR, HOUSTON, TX 77019-3425
(713) 563-7245
(713) 745-0422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10029320
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
287832
MEDICARE
TX
05
—
327577801
—
TX
Enumeration date
11/14/2008
Last updated
11/18/2015
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