Individual
JASON WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 WYOMING AVE, EL PASO, TX 79902-5329
(915) 302-3030
(915) 302-9966
Mailing address
801 WYOMING AVE, EL PASO, TX 79902-5329
(915) 302-3030
(915) 302-9966
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
18398
NV
208000000X
Pediatrics Physician
57640
AZ
208000000X
Pediatrics Physician
MD22710
ME
208000000X
Pediatrics Physician
Primary
S3608
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2015
Last updated
02/28/2021
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