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Li Wan
Student in an Organized Health Care Education/Training Program in Arlington, Texas
NPI 1164171732

Li Wan is a Student in an Organized Health Care Education/Training Program based in Arlington, TX. Li Wan practices in Arlington, TX. The NPI Number for Li Wan is 1164171732 and holds a License No. (Texas).

The current practice location address for Li Wan is 3301 Matlock Rd, Arlington, TX and can be reached out via phone at 469-599-0050.

Location: 3301 Matlock Rd, Arlington, TX, 76015-2908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164171732
Provider Name
Li Wan
Credential
Provider Entity Type
Individual
Gender
Male
Address
3301 Matlock Rd, Arlington, TX, 76015-2908
Phone Number
469-599-0050
Fax Number
Provider Enumeration Date
03/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3301 Matlock Rd
City
Arlington
State
Texas
Zip
76015-2908
Phone Number
469-599-0050
Fax Number
person
Provider Business Mailing Address Details
Address
3301 Matlock Rd
City
Arlington
State
Texas
Zip
76015-2908
Phone Number
469-599-0050
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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