Organization
PANG HOME VISITS PLLC
Active
Organization
PANG HOME VISITS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JAKES PANG DO (MD/OWNER)
(254) 935-2655
Entity
Organization
Contact information
Practice address
617 S 3RD ST, TEMPLE, TX 76504-5509
(254) 935-2655
(254) 935-2660
Mailing address
617 S 3RD ST, TEMPLE, TX 76504-5509
(254) 935-2655
(254) 935-2660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
K5175
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
K5175
TX
Other
Enumeration date
03/08/2012
Last updated
07/01/2012
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