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NPI Code Detail

MEDICARE: BIN WANG D.O.

MEDICARE: BIN WANG D.O.
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
1207Q00000XFamily Medicine Physician02003450AIN
22085N0904XNuclear Radiology Physician02003450AIN
32085R0202XDiagnostic Radiology Physician13244WI

General Provider Information

NPI Number : 1669625869
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIN WANG D.O.
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-4062
Fax Number :
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-4062
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2008
Last Update Date : 01/05/2026

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Directions to “ BIN WANG D.O.” Practice Location

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