Provider Demographics
NPI:1164568085
Name:WUNG, PETER KUO-YEN (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:KUO-YEN
Last Name:WUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 FANNIN ST STE 450
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3008
Mailing Address - Country:US
Mailing Address - Phone:713-486-3100
Mailing Address - Fax:713-512-2246
Practice Address - Street 1:6410 FANNIN ST STE 450
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-486-3100
Practice Address - Fax:713-512-2246
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP8205207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT1746OtherHOPKINS IDENTIFIER