Individual
KELLY SUSHEN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(713) 798-2480
Mailing address
7200 CAMBRIDGE ST # A9.217, HOUSTON, TX 77030-4202
(713) 798-2222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD457799
PA
207R00000X
Internal Medicine Physician
P2404
TX
208M00000X
Hospitalist Physician
Primary
P2404
TX
Other
Enumeration date
07/14/2009
Last updated
09/30/2024
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