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Individual

MR. JOHN Q WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
130 MEDICAL CENTER PKWY, SUITE 7, HUNTSVILLE, TX 77340-4942
(936) 827-4069
Mailing address
130 MEDICAL CENTER PKWY, SUITE 7, HUNTSVILLE, TX 77340-4942
(936) 827-4069

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01601
TX

Other

Enumeration date
09/13/2012
Last updated
09/13/2012
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