Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | R3773 | TX |
NPI | 1316384589 |
---|---|
Provider Name | Winnie Shih-Ching Wang |
First Address | Dallas, Texas, TX 75284-7208 |
Second Address | Dallas, TX 75235-7708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2013 |
Last Update Date | 15/05/2019 |