| Jeff J Wang Do Pa | |
|
12121 Richmond Ave Suite 321 Houston TX 77082-2437 | |
| (281) 920-3232 | |
| (281) 920-3558 |
| Full Name | Jeff J Wang Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 12121 Richmond Ave, Houston, Texas |
| Authorized Official Name and Position | Jeff Wang (PHYSICIAN) |
| Authorized Official Contact | 2819203232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff J Wang Do Pa 12121 Richmond Ave Suite 321 Houston TX 77082-2437 Ph: (281) 920-3232 | Jeff J Wang Do Pa 12121 Richmond Ave Suite 321 Houston TX 77082-2437 Ph: (281) 920-3232 |
| NPI Number | 1245406263 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 05/28/2008 |
| Medicare PECOS PAC ID | 8224059936 |
|---|---|
| Medicare Enrollment ID | O20051209000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245406263 | NPI | - | NPPES |
| 178437301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L0681 (Texas) | Primary |
| Provider Name | Jeff Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235121625 PECOS PAC ID: 2769403476 Enrollment ID: I20110215000534 |
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