Individual
DR. SHIHUAN KEISIN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1631 NORTH LOOP W STE 610, HOUSTON, TX 77008-1552
(317) 800-9790
(713) 880-8374
Mailing address
1631 NORTH LOOP W STE 610, HOUSTON, TX 77008-1552
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
T1253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429663403
—
TX
01
—
429663404
CSHCN MEDICAID TPI
TX
Enumeration date
04/15/2014
Last updated
11/19/2021
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