FAN WANG MD PHD OB GYN PLLC NPI 1003046541

NPI Information

  • NPI: 1003046541
  • Provider Name: FAN WANG MD PHD OB GYN PLLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 45D1053058
  • Address: 6671 SOUTHWEST FWY STE 320
    HOUSTON, TX
    ZIP 77074
  • Phone: (713) 884-8887

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NPI Details

FAN WANG MD PHD OB GYN PLLC is an obstetrics gynecology in Houston, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. FAN WANG MD PHD OB GYN PLLC NPI is 1003046541. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6671 SOUTHWEST FWY STE 320
HOUSTON, TX
ZIP 77074-220
Phone: (713) 884-8887
Fax: (713) 884-8480

The provider's authorized official is Fan Wang .
The authorized official title is Owner and has the following contact phone number (832) 782-3777.

The CLIA number assigned to this NPI record is 45D1053058 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/17/2009 and was last updated on 8/31/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyM2236TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1177382201MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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