Individual
DR. LESTER P WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2405 CLEAR CREEK RD, KILLEEN, TX 76549-5775
(254) 618-1888
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
J9429
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA4926
BLUE SHIELD
WA
Enumeration date
01/04/2006
Last updated
04/07/2021
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