Healthcare Provider Details

I. General information

NPI: 1760426308
Provider Name (Legal Business Name): SCOTT Y WU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5656 KELLEY ST
HOUSTON TX
77026-1967
US

IV. Provider business mailing address

6431 FANNIN ST STE MSB 4234
HOUSTON TX
77030-1501
US

V. Phone/Fax

Practice location:
  • Phone: 713-500-6683
  • Fax: 713-500-6699
Mailing address:
  • Phone: 713-500-6683
  • Fax: 713-500-6699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number036086196
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberW1717
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: