Individual
BENJAMIN WOWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
424 PARK GROVE LANE, KATY, TX 77450-1571
(329) 133-7651
Mailing address
3407 GRAND PEBBLE LN, KATY, TX 77494-0707
(917) 434-7735
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD441257
PA
2084P0800X
Psychiatry Physician
Primary
P9770
TX
2084P0804X
Child & Adolescent Psychiatry Physician
P9770
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027389010001
—
PA
Enumeration date
07/15/2010
Last updated
08/17/2022
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