Individual
XIAO YUN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 E 15TH ST, DEPARTMENT OF PATHOLOGY, AUSTIN, TX 78701-1930
(512) 324-7516
(512) 324-7536
Mailing address
PO BOX 164106, AUSTIN, TX 78716-4106
(512) 324-7516
(512) 324-7536
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
32299
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195386101
—
TX
01
—
8BL181
BCBSTX
TX
Enumeration date
04/18/2007
Last updated
02/16/2009
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