Individual
DR. WENRU SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3409 WORTH STREET, SUITE 600, DALLAS, TX 75246
(214) 820-6113
(214) 820-7346
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
A-72872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AA590
BCTX
—
Enumeration date
07/24/2006
Last updated
10/12/2007
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