Chun Wang Y Tan in Jourdanton - Cardiovascular Disease

Chun Wang Y Tan - NPI 1104825785

Chun Wang Y Tan is a Cardiovascular Disease in Jourdanton, Texas. Chun Wang Y Tan practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Chun Wang Y Tan is 1104825785. The last update date is 2015-10-14.

Chun Wang Y Tan's current location address is 1808 Highway 97 E, Jourdanton, Texas. You can contact this provider via phone number 8305694003 and fax number 8305694001. The mailing address for Chun Wang Y Tan is 1808 Highway 97 E, Jourdanton, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Chun Wang Y Tan
Address 1808 Highway 97 E, Jourdanton, Texas
Phone Number 8305694003
Fax Number 8305694001
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1104825785
Provider Enumeration Date 2005-07-18
Last Updated Date 2015-10-14

Provider Mailing Address Detail

Address 1808 Highway 97 E
City Jourdanton
State Texas (TX)
Post Code 780261535
Phone Number 8305694003
Fax Number 8305694001

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No K3862
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
37007401 TX --
8028M0 TX BCBS
8G9388 TX BCBS
37007403 TX --

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FAQs about Chun Wang Y Tan

What is the unique 10-digit identifier code assigned to Chun Wang Y Tan by the Centers for Medicare & Medicaid Services?

The Chun Wang Y Tan has been issued the NPI (National Provider Identifier) 1104825785 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Chun Wang Y Tan?

The Chun Wang Y Tan is physically situated at 1808 Highway 97 E, in the city of Jourdanton, state of TX, with the postal code 780261535.

What is Chun Wang Y Tan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Chun Wang Y Tan is Cardiovascular Disease, and the taxonomy code that classifies this field of practice is 207Rc0000X.

When did the Chun Wang Y Tan receive its 1104825785?

The Chun Wang Y Tan was issued its 1104825785 on 2005-07-18, which is the date when the organization was assigned this unique identifier.

When was the information related to Chun Wang Y Tan most recently updated or refreshed?

The details pertaining to the Chun Wang Y Tan, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-10-14.

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