Organization
ROCKET IOM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY WANG MD (SOLE MEMBER)
(281) 333-1300
Entity
Organization
Contact information
Practice address
3526 LAKEVIEW PKWY STE B230, ROWLETT, TX 75088-4176
(972) 412-5299
(469) 453-3374
Mailing address
3526 LAKEVIEW PKWY STE B230, ROWLETT, TX 75088-4176
(972) 412-5299
(469) 453-3374
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M2187
MEDICAL LIC
TX
Enumeration date
01/03/2020
Last updated
01/03/2020
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