Individual
DR. KATHERINE CHIYU WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
8196 WALNUT HILL LN STE 100, DALLAS, TX 75231
(214) 739-4175
(214) 987-4161
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 237-2987
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
L9000
TX
207RH0003X
Hematology & Oncology Physician
Primary
L9000
TX
207RX0202X
Medical Oncology Physician
L9000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165358602
—
TX
01
—
8U7569
BCBSTX
TX
01
—
P00695485
RAILROAD MEDICARE
TX
Enumeration date
07/24/2006
Last updated
07/25/2022
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