Individual
EMILY S WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2400 ROUND ROCK AVE, ROUND ROCK, TX 78681-4004
(512) 341-1258
(512) 323-5287
Mailing address
PO BOX 2748, SAN ANTONIO, TX 78299-2748
(512) 341-1258
(512) 323-5287
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L6708
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8R7684
BLUE CROSS BLUE SHIELD
TX
01
—
P00211323
RAILROAD MEDICARE
TX
Enumeration date
07/19/2006
Last updated
07/08/2007
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