MEDICARE: SCOTT WANG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	N4193	TX
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1124297155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT WANG MD

Provider Business Mailing Address
First Line	:	7300 ELDORADO PKWY
Second Line	:	STE 200
City	:	MCKINNEY
State	:	TX
Zip	:	75070-7896
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7300 ELDORADO PKWY STE 200
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-7896
Country	:	US
Telephone Number	:	972-599-9600
Fax Number	:	972-599-1800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2008
Last Update Date	:	01/17/2019

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Directions to “ SCOTT WANG MD” Practice Location

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