Individual
BRANDEN TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10112 E CLARK ST, WICHITA, KS 67207-7747
(316) 207-4276
Mailing address
10112 E CLARK ST, WICHITA, KS 67207-7747
(316) 207-4276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
027880
NY
363A00000X
Physician Assistant
1502260
KS
Other
Enumeration date
05/31/2019
Last updated
06/15/2022
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