Individual
MRS. CHIA-LIEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
2410 WYCON DR STE 204, WACO, TX 76712-8991
(254) 752-9221
(254) 755-7064
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
77411
AZ
207V00000X
Obstetrics & Gynecology Physician
J3388
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101581002
—
TX
Enumeration date
03/08/2006
Last updated
08/06/2025
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