Provider Demographics
NPI:1487904843
Name:WANG, ANNE (PA)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6400 FANNIN ST
Mailing Address - Street 2:SUITE 2350
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1521
Mailing Address - Country:US
Mailing Address - Phone:713-704-4300
Mailing Address - Fax:713-704-4355
Practice Address - Street 1:6400 FANNIN ST
Practice Address - Street 2:SUITE 2500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1521
Practice Address - Country:US
Practice Address - Phone:713-704-4300
Practice Address - Fax:713-704-4355
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2014-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA07910363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant