Individual
YI-ZARN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-2222
(432) 335-1693
Mailing address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-2222
(432) 335-1693
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD10961R
LA
208600000X
Surgery Physician
Primary
R3617
TX
2086X0206X
Surgical Oncology Physician
10961R
LA
2086X0206X
Surgical Oncology Physician
R3617
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05334356
—
MS
05
—
1995606
—
LA
Enumeration date
09/27/2006
Last updated
10/27/2021
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