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NPI Code Detail

MEDICARE: CONNIE WANG

MEDICARE: CONNIE WANG
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist63232TX

General Provider Information

NPI Number : 1154929560
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNIE WANG
Provider Business Mailing Address
First Line : 10306 S POST OAK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77035-3302
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10306 S POST OAK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77035-3302
Country : US
Telephone Number : 713-529-5161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2020
Last Update Date : 10/16/2020

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Directions to “ CONNIE WANG ” Practice Location

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