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NPI Code Detail

MEDICARE: MS. WEI TANG M.D., PH.D.

MEDICARE: MS. WEI TANG M.D., PH.D.
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
1207R00000XInternal Medicine PhysicianR6921TX

General Provider Information

NPI Number : 1306232616
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. WEI TANG M.D., PH.D.
Provider Business Mailing Address
First Line : 3417 GASTON AVE STE 1000
Second Line :
City : DALLAS
State : TX
Zip : 75246-2037
Country : US
Telephone Number : 469-800-9000
Fax Number : 469-800-9060
Provider Business Practice Location Address
First Line : 3417 GASTON AVE STE 1000
Second Line :
City : DALLAS
State : TX
Zip : 75246-2037
Country : US
Telephone Number : 469-800-9000
Fax Number : 469-800-9060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2015
Last Update Date : 12/14/2022

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