Provider Demographics
NPI:1962782466
Name:WANG, KATHERINE KAI-DIH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:KAI-DIH
Last Name:WANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 WATERS DAIRY RD
Mailing Address - Street 2:APT. 1013
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-3425
Mailing Address - Country:US
Mailing Address - Phone:281-777-2021
Mailing Address - Fax:
Practice Address - Street 1:937 CANYON CREEK DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-3293
Practice Address - Country:US
Practice Address - Phone:254-774-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-28
Last Update Date:2011-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50559183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist