Doctor Name: | DR. MARY TRACI GROENING-WANG |
NPI Number: | 1437345949 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | N7269 |
Business Practice Address: | 4800 Alberta Ave El Paso, TX - 799052709 |
Business Phone Number: | 9155456710 |
Business Fax Number: | |
Mailing Address: | 7700 Westside Road, ANTHONY |
State: | TX |
Postal Code: | 88021 |
Phone Number: | 5755891891 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2007 |
NPI Last Update Date: | 09/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | N7269 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |