Provider Demographics
NPI:1689316762
Name:WANG, CHENEY (DC)
Entity Type:Individual
Prefix:DR
First Name:CHENEY
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2664 ALLENDALE DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0745
Mailing Address - Country:US
Mailing Address - Phone:469-274-7909
Mailing Address - Fax:
Practice Address - Street 1:291 S PRESTON RD STE 910
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-1913
Practice Address - Country:US
Practice Address - Phone:972-694-5888
Practice Address - Fax:972-694-5899
Is Sole Proprietor?:No
Enumeration Date:2022-04-10
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14760111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor