Provider Demographics
NPI:1235113119
Name:WANG, ROBERT MING-CHEUG (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MING-CHEUG
Last Name:WANG
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 1:1803 GRAY BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4041
Mailing Address - Country:US
Mailing Address - Phone:281-491-7840
Mailing Address - Fax:
Practice Address - Street 1:9110 BELLAIRE BLVD
Practice Address - Street 2:SUITE H
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4626
Practice Address - Country:US
Practice Address - Phone:713-774-3000
Practice Address - Fax:713-270-6969
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-03
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9456207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX098832102Medicaid
TX098832102Medicaid
TX00MP23Medicare ID - Type Unspecified