Individual
SUSAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219-4688
(510) 683-9500
(877) 880-2039
Mailing address
2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219-4688
(510) 683-9500
(877) 880-2039
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101286543
VA
2085R0202X
Diagnostic Radiology Physician
65892
CT
2085R0202X
Diagnostic Radiology Physician
A115390
CA
2085R0202X
Diagnostic Radiology Physician
MD61609899
WA
2085R0202X
Diagnostic Radiology Physician
S3086
TX
Other
Enumeration date
08/11/2009
Last updated
07/16/2025
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