Organization
FAN WANG MD PHD OB GYN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAN WANG MD, PHD (OWNER)
(832) 782-3777
Entity
Organization
Contact information
Practice address
6671 SOUTHWEST FWY STE 320, HOUSTON, TX 77074-2220
(713) 884-8887
(713) 884-8480
Mailing address
6 WINDSOR PL, HOUSTON, TX 77055-3900
(713) 884-8887
(713) 884-8480
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M2236
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177382201
—
TX
Enumeration date
07/17/2009
Last updated
08/31/2020
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