Provider Demographics
NPI:1245633973
Name:WANG, RICHARD (DO)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18100 HOUSTON METHODIST DR STE 220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3653
Mailing Address - Country:US
Mailing Address - Phone:832-783-1170
Mailing Address - Fax:281-333-0145
Practice Address - Street 1:18100 HOUSTON METHODIST DR STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3653
Practice Address - Country:US
Practice Address - Phone:832-783-1170
Practice Address - Fax:281-333-0145
Is Sole Proprietor?:No
Enumeration Date:2014-10-08
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13844207R00000X
TXR2784208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine