| NPI | 1104807759 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-11-10 |
| Last Updated | 2020-05-04 |
| Mailing Address | 4645 Southwest Fwy Ste 100 Houston, TX 77027-7163 United States Phone: (713) 467-3393 | Fax: (832) 467-3393 📍 View Map |
| Primary Practice Address | 4645 Southwest Fwy Ste 100 Houston, TX 77027-7163 United States Phone: (713) 467-3393 | Fax: (832) 467-3393 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 141970704 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207W00000X – Ophthalmology | TX | K3035 |
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About NPI 1104807759
Nan Wang M. D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104807759. The primary specialty listed is Ophthalmology. The provider is located in Houston, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-11-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104807759?
NPI 1104807759 belongs to Nan Wang M. D., a Ophthalmology in Houston, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104807759 active?
The current status of NPI 1104807759 in the NPPES registry is Active. The record was last updated on 2020-05-04.
What specialty is NPI 1104807759?
NPI 1104807759 is classified under the taxonomy Ophthalmology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104807759?
You can verify NPI 1104807759 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104807759?
The primary practice address on file for NPI 1104807759 is 4645 Southwest Fwy Ste 100, Houston, TX 77027-7163. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104807759 issued?
NPI 1104807759 was first issued (enumerated) on 2005-11-10. The NPPES record was last updated on 2020-05-04.
Practice Location Map
Nan Wang is located at 4645 Southwest Fwy Ste 100, Houston, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Nan Wang. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104807759. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Ophthalmology | K3035 | TX |