Most Relevant Information
Provider Data
| NPI Number: | 1003250457 |
| Provider Name: | CONNIE MENGYAN WANG M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | Q9076 |
Most Important Dates
| Enumeration Date: | 04/28/2013 |
| Last Updated: | 03/05/2018 |
Provider Practice Location
4603 FM 1463 RD STE 100
KATY
TX
774946545
Practice Location Phone/Fax
| Phone: | 2816120050 |
| Fax: |
Provider Mailing Location
4603 FM 1463 RD STE 100
KATY
TX
774946545
Provider Mailing Phone/Fax
| Phone: | 2816120050 |
| Fax: |