MEDICARE: AMANDA MEI WANG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	BP10063414	TX
2	207VM0101X	Maternal & Fetal Medicine Physician	T8683	TX

General Provider Information

NPI Number	:	1306330667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA MEI WANG MD

Provider Business Mailing Address
First Line	:	7400 FANNIN ST STE 1145
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1936
Country	:	US
Telephone Number	:	346-416-6678
Fax Number	:	346-416-6679

Provider Business Practice Location Address
First Line	:	7400 FANNIN ST STE 1145
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1936
Country	:	US
Telephone Number	:	346-416-6678
Fax Number	:	346-416-6679

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2018
Last Update Date	:	05/28/2025

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