Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | BP10050681 | TX |
N | 207R00000X | Internist | BP10050681 | TX |
N | 111NI0900X | Internist | BP10050681 | TX |
NPI | 1053721696 |
---|---|
Provider Name | Albert Yt Wu |
First Address | Sugar Land, TX 77479-3153 |
Second Address | Sugar Land, TX 77479-3153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2014 |
Last Update Date | 09/10/2019 |