Individual
DR. LI WEN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
500 E BEN WHITE BLVD, STE D - 600, AUSTIN, TX 78704-7470
(512) 912-1165
(512) 912-0525
Mailing address
4619 PEACH GROVE RD, AUSTIN, TX 78744-3107
(512) 912-1165
(512) 912-0525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4362TG
TX
Other
Enumeration date
01/05/2007
Last updated
04/16/2008
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