Individual
DR. MARY KATHLEEN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 BARBARA JORDAN BLVD STE 302, AUSTIN, TX 78723-3078
(512) 472-6134
(512) 472-4601
Mailing address
1301 BARBARA JORDAN BLVD STE 302, AUSTIN, TX 78723-3078
(512) 472-6134
(512) 472-4601
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R6707
TX
2088P0231X
Pediatric Urology Physician
R6707
TX
Other
Enumeration date
04/07/2011
Last updated
01/25/2024
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