Peter Jang, MD is a
Student In An Organized Health Care Education/training Program physician based in Fort Worth, Texas. Peter Jang is licensed to practice in * (Not Available) (license number ) and his current practice location is 1500 S Main St, Fort Worth, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 702-1244.
NPI number for Peter Jang is 1063099034 and his current mailing address is 1500 S Main St, Fort Worth, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063099034.
Physician's Profile
Full Name | Peter Jang |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1500 S Main St, Fort Worth, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063099034
- Provider Enumeration Date: 03/25/2021
- Last Update Date: 01/20/2023
Medical Identifiers
Medical identifiers for Peter Jang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063099034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | T9413 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter Jang is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Peter Jang, MD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-1244 | Peter Jang, MD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-1244 |
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