Provider Demographics
NPI:1245248301
Name:WU, MIN SHENG (MD)
Entity type:Individual
Prefix:DR
First Name:MIN SHENG
Middle Name:
Last Name:WU
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 1:7244 BROOKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-4206
Mailing Address - Country:US
Mailing Address - Phone:214-750-0569
Mailing Address - Fax:
Practice Address - Street 1:4215 JOE RAMSEY BLVD E
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-7852
Practice Address - Country:US
Practice Address - Phone:903-408-1218
Practice Address - Fax:903-408-1219
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5290207L00000X
CAA29671207L00000X
MO35457207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000AL071Medicaid
TX0069BAOtherBLUE CHOICE SOULTION PROV
2150533008PALIDOtherCIGNA ID
TXC23185Medicare UPIN
TX8F1248Medicare ID - Type Unspecified