Individual
WEI - LIEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N2879
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201966301
—
TX
01
—
8V1997
BCBS
TX
01
—
P00743428
RR MEDICARE
TX
Enumeration date
05/30/2006
Last updated
07/16/2012
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