Individual
JOHNSON WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4107 SPICEWOOD SPRINGS RD STE 100, AUSTIN, TX 78759-8645
(512) 973-3360
(512) 343-7107
Mailing address
4107 SPICEWOOD SPRINGS RD STE 100, AUSTIN, TX 78759-8645
(512) 973-3360
(512) 343-7107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10048226
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
1042482624
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421525301
—
TX
Enumeration date
06/18/2013
Last updated
01/19/2023
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