Organization
TAN HEART CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUN WANG Y TAN MD (MANAGER)
(210) 731-0131
Entity
Organization
Contact information
Practice address
1540 W GOODWIN ST, PLEASANTON, TX 78064-3804
(210) 731-0131
Mailing address
323 W MULBERRY AVE, SAN ANTONIO, TX 78212-3236
(210) 731-0131
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K3862
TX
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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