Individual
DR. PETER T.H. WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4499 MEDICAL DR, SUITE 347, SAN ANTONIO, TX 78229-3735
(210) 615-8757
(210) 615-8789
Mailing address
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250, RICHARDSON, TX 75082-3542
(972) 437-5099
(972) 671-8428
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
L0682
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047505503
—
TX
Enumeration date
05/17/2006
Last updated
11/10/2011
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