Individual
NEIL-JEREMY WINGKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. M.P.H.
Contact information
Practice address
6431 FANNIN ST, SUITE JJL 431, HOUSTON, TX 77030
(713) 500-7878
(713) 500-0758
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q9556
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373120007
—
TX
01
—
373120008
CSHCN MEDICAID
TX
Enumeration date
04/18/2014
Last updated
01/18/2019
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