Individual
BO WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4525 OHIO DRIVE, FRISCO, TX 75035
(972) 731-7717
(972) 731-7733
Mailing address
4525 OHIO DRIVE, FRISCO, TX 75035
(972) 731-7717
(972) 731-7733
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K6949
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092558809
—
TX
Enumeration date
07/21/2005
Last updated
03/17/2011
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