Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | M2656 | TX |
NPI | 1073607719 |
---|---|
Provider Name | Wen-Jen Hwu |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030-4009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 26/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
170469401 | (05) | TX |
8M8325 | BCBS (01) | TX |
E48441 | (02) | |
P00300775 | RR MEDICARE (01) | TX |