Provider Demographics
NPI:1477704880
Name:WU, SHOU (SA-C)
Entity Type:Individual
Prefix:MR
First Name:SHOU
Middle Name:
Last Name:WU
Suffix:
Gender:M
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16305 OLD BALDY DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-4001
Mailing Address - Country:US
Mailing Address - Phone:512-228-8283
Mailing Address - Fax:
Practice Address - Street 1:16305 OLD BALDY DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-4001
Practice Address - Country:US
Practice Address - Phone:512-228-8283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other