Healthcare Provider Details

I. General information

NPI: 1093532632
Provider Name (Legal Business Name): SHENG-PEI WANG MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9835 N LAKE CREEK PKWY
AUSTIN TX
78717-6210
US

IV. Provider business mailing address

9835 N LAKE CREEK PKWY
AUSTIN TX
78717-6210
US

V. Phone/Fax

Practice location:
  • Phone: 737-220-8200
  • Fax: 737-220-8180
Mailing address:
  • Phone: 737-220-8200
  • Fax: 737-220-8180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License NumberFTL49045
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: