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Angela Wang

NPI Registration Record

Provider / OrganizationNPIDate Certified
ANGELA WANG13569599022020-07-24
Entity TypeIndividual
Provider Name Angela Wang
Practice Office Address5323 HARRY HINES BLVD
DALLAS, TX US
Practice Office Telephone2146483111
Mailing Address5323 HARRY HINES BLVD
DALLAS, TX 753909006 US
Business Telephone2146482168
HPT Codes
CodeLicense NoState
390200000X PRIMARY
OPI Codes

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