Provider Demographics
NPI:1316137995
Name:WANG, BRIAN SHIH-NING (MD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:SHIH-NING
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14140 SOUTHWEST FWY STE 200
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3842
Mailing Address - Country:US
Mailing Address - Phone:281-649-7000
Mailing Address - Fax:713-484-6649
Practice Address - Street 1:1200 MCKINNEY ST STE 415
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77010-2043
Practice Address - Country:US
Practice Address - Phone:713-650-3776
Practice Address - Fax:713-752-2037
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7742207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX190038301Medicaid
TXTXB166198OtherMEDICARE - GROUP