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General NPI Number Information
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NPI Number | 1003046541
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Entity Type | Organization
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Legal Business Name | FAN WANG MD PHD OB GYN PLLC
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Dates
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Enumeration Date | 07/17/2009
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 6671 SOUTHWEST FWY STE 320
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City | HOUSTON
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State | TX
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Zip | 77074-2220
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Country | US
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Telephone | 713-884-8887
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Fax | 713-884-8480
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Provider Business Mailing Address
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Address Line | 6 WINDSOR PL
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City | HOUSTON
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State | TX
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Zip | 77055-3900
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Country | US
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Telephone | 713-884-8887
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Fax | 713-884-8480
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Authorized Official
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Title or Position | OWNER
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Name | FAN WANG
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Credential | MD, PHD
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Telephone | 832-782-3777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | M2236
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License Number State | TX
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