Individual
TED S WEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 W PARKER RD, PLANO, TX 75093-7939
(972) 608-8000
Mailing address
1820 PRESTON PARK BLVD, STE 1825, PLANO, TX 75093-5215
(972) 867-7862
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H8505
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116205802
—
TX
01
—
80070R
PTAN
TX
Enumeration date
05/03/2006
Last updated
11/28/2023
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