Chun Wang Tan Md Pa in San Antonio - Cardiovascular Disease
Chun Wang Tan Md Pa - NPI 1164604294
Chun Wang Tan Md Pa is a Cardiovascular Disease in San Antonio, Texas. Chun Wang Tan Md Pa practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Chun Wang Tan Md Pa is 1164604294. The last update date is 2007-11-30.
Chun Wang Tan Md Pa's current location address is 323 W Mulberry Ave, San Antonio, Texas. You can contact this provider via phone number 2107310131 and fax number 2107310131. The mailing address for Chun Wang Tan Md Pa is 323 W Mulberry Ave, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Chun Wang Tan Md Pa |
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Address | 323 W Mulberry Ave, San Antonio, Texas |
Phone Number | 2107310131 |
Fax Number | 2107310131 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR |
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Authorized Official Name | Tan Y Chun Wang |
Credentials | MD |
Telephone Number | 2107310131 |
NPI Number Detail
NPI Number | 1164604294 |
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Provider Enumeration Date | 2007-11-30 |
Last Updated Date | 2007-11-30 |
Provider Mailing Address Detail
Address | 323 W Mulberry Ave |
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City | San Antonio |
State | Texas (TX) |
Post Code | 782123236 |
Phone Number | 2107310131 |
Fax Number | 2107310131 |
Provider's Primary Taxonomy Detail
Speciality | Cardiovascular Disease |
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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. |
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What is the unique 10-digit identification code assigned to Chun Wang Tan Md Pa by the Centers for Medicare & Medicaid Services?
The Chun Wang Tan Md Pa has been issued the NPI (National Provider Identifier) 1164604294, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Chun Wang Tan Md Pa?
The Chun Wang Tan Md Pa is situated at 323 W Mulberry Ave, in the city of San Antonio, state of TX, with the zip code 782123236.
What is the Chun Wang Tan Md Pa's specialty and taxonomy code?
The Chun Wang Tan Md Pa's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164604294 to Chun Wang Tan Md Pa?
The Chun Wang Tan Md Pa received its 1164604294 assignment from the Centers for Medicare & Medicaid Services on 2007-11-30.
When was the information related to Chun Wang Tan Md Pa most recently updated or refreshed?
The details pertaining to the Chun Wang Tan Md Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-30.