Individual
SHOUSHAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
1000 S NEW RD # 130, WACO, TX 76711-1300
(254) 900-7798
Mailing address
5020 FM 1960 RD W STE 6, HOUSTON, TX 77069-4519
(254) 900-7788
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT123464
TX
Other
Enumeration date
09/11/2023
Last updated
08/15/2024
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