| Pang Home Visits Pllc | |
|
617 S 3rd St Temple TX 76504-5509 | |
| (254) 935-2655 | |
| (254) 935-2660 |
| Full Name | Pang Home Visits Pllc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 617 S 3rd St, Temple, Texas |
| Authorized Official Name and Position | John Jakes Pang (MD/OWNER) |
| Authorized Official Contact | 2549352655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pang Home Visits Pllc 617 S 3rd St Temple TX 76504-5509 Ph: (254) 935-2655 | Pang Home Visits Pllc 617 S 3rd St Temple TX 76504-5509 Ph: (254) 935-2655 |
| NPI Number | 1942574918 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 07/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942574918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K5175 (Texas) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | K5175 (Texas) | Primary |
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