Wan, Christine W

Wan, Christine W is an individual health care provider with primary practice located at 3051 E University Blvd , Odessa TX 79762-7902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wan, Christine W can be contacted via phone (432) 362-4376.

Contact Information

Primary practice address
3051 E University Blvd Odessa TX 79762-7902
Phone: (432) 362-4376
Fax: (432) 362-6308
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K7933 Texas

Profile Details

NPI number 1609870377
LBN Legal business name Wan, Christine W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Nov 12th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609870377 NPPES
Texas Other 8J3981 BLUE CROSS/BLUE SHIELD

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