Healthcare Provider Details

I. General information

NPI: 1750347852
Provider Name (Legal Business Name): HUI WANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 S 23RD ST SUITE 200
TACOMA WA
98405-1605
US

IV. Provider business mailing address

3315 S 23RD ST SUITE 200
TACOMA WA
98405-1605
US

V. Phone/Fax

Practice location:
  • Phone: 253-272-9994
  • Fax: 253-572-0468
Mailing address:
  • Phone: 253-272-9994
  • Fax: 253-572-0468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD00044764
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: