Individual
DAVID QIANG WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-7700
(713) 704-5734
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
M4635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8S7131
BCBSTX
TX
Enumeration date
05/26/2006
Last updated
03/12/2008
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