Individual
YING TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7179
OK
208M00000X
Hospitalist Physician
Primary
02006864A
IN
Other
Enumeration date
06/19/2019
Last updated
10/11/2022
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