Provider Demographics
NPI:1891003745
Name:WANG, ALLEN SHAWLUN (MD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:SHAWLUN
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1850 LAKEPOINTE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057
Mailing Address - Country:US
Mailing Address - Phone:972-436-5040
Mailing Address - Fax:972-315-8624
Practice Address - Street 1:1850 LAKEPOINTE DR STE 200
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-6443
Practice Address - Country:US
Practice Address - Phone:972-436-5040
Practice Address - Fax:972-221-0249
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2020-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP8561207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology