Individual
DR. THOMAS TIEN-YAU WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 SHIRE BLVD STE 104, RICHARDSON, TX 75082-2236
(972) 487-6400
(972) 487-1686
Mailing address
3600 SHIRE BLVD STE 104, RICHARDSON, TX 75082-2236
(972) 487-6400
(972) 487-1686
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
Q5600
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365585401
—
TX
Enumeration date
04/27/2010
Last updated
02/09/2022
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