Individual
TED S WEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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