Provider Demographics
NPI:1326035858
Name:WANG, YUN (MD)
Entity Type:Individual
Prefix:DR
First Name:YUN
Middle Name:
Last Name:WANG
Suffix:
Gender:F
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:PO BOX 20271
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77225-0271
Mailing Address - Country:US
Mailing Address - Phone:713-527-8997
Mailing Address - Fax:713-527-8999
Practice Address - Street 1:1200 BINZ ST
Practice Address - Street 2:SUITE 690
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6900
Practice Address - Country:US
Practice Address - Phone:713-527-8997
Practice Address - Fax:713-527-8999
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2010-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5607207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8X7550OtherBCBS TX
TX152105601Medicaid
TX152105603Medicaid
TX82658YOtherBCBS TX
TX152105603Medicaid
TX8F5336Medicare PIN
TX82658YOtherBCBS TX