Individual
ELLEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-4607
(214) 645-8898
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
T1596
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2016
Last updated
06/27/2023
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