Provider Demographics
NPI:1104900232
Name:WANG, GEXIN
Entity type:Individual
Prefix:MR
First Name:GEXIN
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 CENTERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5274
Mailing Address - Country:US
Mailing Address - Phone:615-345-5390
Mailing Address - Fax:
Practice Address - Street 1:1600 MEDICAL PARKWAY
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89702
Practice Address - Country:US
Practice Address - Phone:775-445-8000
Practice Address - Fax:775-445-8368
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic