Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD60479857 | WA |
N | 207Q00000X | Family Doctor | P8001 | TX |
N | 207QG0300X | Family Doctor - Geriatric Medicine | P8001 | TX |
NPI | 1245523695 |
---|---|
Provider Name | Dr. Hsin-Yi Wang |
First Address | Lynnwood, WA 98036-6318 |
Second Address | Lynnwood, WA 98036-6318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2011 |
Last Update Date | 10/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
354637602 | (05) | TX |
P8001 | TX LICENSE (01) | TX |