Individual
JASON BEN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(713) 798-1000
Mailing address
1725 MAIN ST UNIT 1715, HOUSTON, TX 77002-8158
(713) 653-4698
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP136586
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
AP136586
TX
363LF0000X
Family Nurse Practitioner
AP136586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP10221
LOUISIANA STATE BOARD OF NURSING
LA
01
—
AP136586
TEXAS BOARD OF NURSING
TX
Enumeration date
04/13/2018
Last updated
08/19/2024
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