| Wang&jiang, Md, Pa | |
|
9999 Bellaire Blvd Ste 370 Houston TX 77036-3579 | |
| (713) 270-0909 | |
| (713) 270-1226 |
| Full Name | Wang&jiang, Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 9999 Bellaire Blvd Ste 370, Houston, Texas |
| Authorized Official Name and Position | Xin Wang (PRESIDENT) |
| Authorized Official Contact | 7132700909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wang&jiang, Md, Pa Po Box 579 Bellaire TX 77402-0579 Ph: (713) 270-0909 | Wang&jiang, Md, Pa 9999 Bellaire Blvd Ste 370 Houston TX 77036-3579 Ph: (713) 270-0909 |
| NPI Number | 1760510887 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 0345236485 |
|---|---|
| Medicare Enrollment ID | O20040422001677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760510887 | NPI | - | NPPES |
| 165168901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L6965 (Texas) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | L7919 (Texas) | Secondary |
| Provider Name | Nan Jiang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407883259 PECOS PAC ID: 7719885136 Enrollment ID: I20031223000191 |
| Provider Name | Xin Wang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124004783 PECOS PAC ID: 9335135474 Enrollment ID: I20040422001689 |
| Provider Name | Juliette A Depue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952594616 PECOS PAC ID: 3971628777 Enrollment ID: I20100916001258 |
| Provider Name | Jennifer A Pak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053549527 PECOS PAC ID: 5890970776 Enrollment ID: I20110420000229 |
| Provider Name | Vi M Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225265192 PECOS PAC ID: 3072760354 Enrollment ID: I20120821000541 |
| Provider Name | Min Liang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295053684 PECOS PAC ID: 0648408708 Enrollment ID: I20140116001645 |
| Provider Name | Joel Cheng |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639600505 PECOS PAC ID: 1052697430 Enrollment ID: I20170419002755 |
| Provider Name | Jerryce M Hudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780097121 PECOS PAC ID: 9234422601 Enrollment ID: I20170627002687 |
| Provider Name | John An Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982193561 PECOS PAC ID: 4688926710 Enrollment ID: I20181017002764 |
| Provider Name | Mai Thao Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902251317 PECOS PAC ID: 6103115829 Enrollment ID: I20190724002686 |
| Provider Name | Christopher Campos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932762507 PECOS PAC ID: 7618203381 Enrollment ID: I20220915002785 |
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