Individual
DR. JENNIFER H WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
13502 PADDINGTON CIR, AUSTIN, TX 78729-1930
(877) 801-1188
(888) 592-3646
Mailing address
13502 PADDINGTON CIR, AUSTIN, TX 78729-1930
(877) 801-1188
(888) 592-3646
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1646
TX
213ES0131X
Foot Surgery Podiatrist
1646
TX
213ES0131X
Foot Surgery Podiatrist
N005645
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160910901
—
TX
05
—
160910903
—
TX
01
—
8CS732
BC/BS
TX
01
—
P00695818
RAILROAD
TX
Enumeration date
11/23/2005
Last updated
08/11/2014
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