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Individual

DR. MIN WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3445 EXECUTIVE CENTER DRIVE, SUITE 250, AUSTIN, TX 78731-1678
(512) 579-4000
(512) 439-2814
Mailing address
3445 EXECUTIVE CENTER DRIVE, SUITE 250, AUSTIN, TX 78731-1678
(512) 579-4000
(512) 439-2814

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
L9958
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159969801
TX
01
8H3183
BCBS
TX
01
P00052312
RAILROAD MEDICARE
TX
Enumeration date
06/02/2006
Last updated
01/30/2013
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