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NPI Code Detail

MEDICARE: ANGELINE LIU WANG M.D.

MEDICARE: ANGELINE LIU WANG M.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
1207W00000XOphthalmology PhysicianS2195TX
2207W00000XOphthalmology PhysicianA149302CA
3207W00000XOphthalmology Physician62927WI
4207WX0107XRetina Specialist (Ophthalmology) PhysicianS2195TX

General Provider Information

NPI Number : 1750714879
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELINE LIU WANG M.D.
Provider Business Mailing Address
First Line : PO BOX 845347
Second Line :
City : DALLAS
State : TX
Zip : 75284-5347
Country : US
Telephone Number : 214-645-2020
Fax Number :
Provider Business Practice Location Address
First Line : 6201 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-9201
Country : US
Telephone Number : 214-645-9729
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2013
Last Update Date : 04/10/2024

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