Individual
RUN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6414 FANNIN ST, G150, HOUSTON, TX 77030-1517
(713) 704-2494
(713) 704-6260
Mailing address
6400 FANNIN ST STE 2300, HOUSTON, TX 77030-1527
(832) 325-7280
(713) 512-7104
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
L5176
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153132901
—
TX
01
—
8G3641
BCBS
TX
Enumeration date
07/07/2006
Last updated
06/20/2023
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