Provider Demographics
NPI:1265865638
Name:WANG, ING-ING REBECCA (NP-C)
Entity type:Individual
Prefix:MS
First Name:ING-ING
Middle Name:REBECCA
Last Name:WANG
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:INGING
Other - Middle Name:REBECCA
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5900 S LAKE FOREST DR STE 300
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2238
Mailing Address - Country:US
Mailing Address - Phone:144-402-6412
Mailing Address - Fax:214-440-2870
Practice Address - Street 1:4561 KENTUCKY DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3984
Practice Address - Country:US
Practice Address - Phone:972-977-5964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP123093363LP2300X
TXAP123983363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care