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NPI Code Detail

MEDICARE: JENNIFER H WANG DPM PC

MEDICARE: JENNIFER H WANG DPM PC
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
1213ES0131XFoot Surgery Podiatrist1646TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2D06387OTHERTXRAILROAD
30085WHOTHERTXBC/BS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194960997
Entity Type Code : Organization
Provider Name (Legal Business Name) : JENNIFER H WANG DPM PC
Provider Business Mailing Address
First Line : 13502 PADDINGTON CIR
Second Line :
City : AUSTIN
State : TX
Zip : 78729-1930
Country : US
Telephone Number : 877-801-1188
Fax Number : 888-592-3646
Provider Business Practice Location Address
First Line : 13502 PADDINGTON CIR
Second Line :
City : AUSTIN
State : TX
Zip : 78729-1930
Country : US
Telephone Number : 877-801-1188
Fax Number : 888-592-3646
Authorized Official
Title or Position : PRESIDENT
Name : DR. JENNIFER H WANG
Credential : DPM
Telephone Number : 877-801-1188
Provider Enumeration Date : 12/08/2008
Last Update Date : 08/11/2014

Similar Medicare Providers

1619950565 — DR. JENNIFER H WANG DPM
Practice Location Address:
13502 PADDINGTON CIR
AUSTIN, TX
78729-1930
Practice Phone: 877-801-1188
Practice Fax: 888-592-3646
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1811983059 — KRISTIE VINKLAREK
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1952399107 — DR. THERESA C. JASO PHARM.D.
Practice Location Address:
601 E 15TH ST
AUSTIN, TX
78701-1930
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Practice Fax:
1720069941 — ANWAR FARHOOD MD
Practice Location Address:
601 E 15TH ST , DEPARTMENT OF PATHOLOGY
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1972584035 — PHILLIP C COLLINS MD
Practice Location Address:
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Practice Fax:

Directions to “JENNIFER H WANG DPM PC ” Practice Location

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