Individual
DR. CAROL C WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
Q1931
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342625601
—
TX
01
—
342625602
MEDICAID CSHCN TPI
TX
Enumeration date
03/05/2007
Last updated
08/14/2020
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