Healthcare Provider Details

I. General information

NPI: 1417905316
Provider Name (Legal Business Name): VINCENT WEN KAU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12121 RICHMOND AVE SUITE 110
HOUSTON TX
77082
US

IV. Provider business mailing address

12121 RICHMOND AVE SUITE 110
HOUSTON TX
77082-2432
US

V. Phone/Fax

Practice location:
  • Phone: 281-558-5558
  • Fax: 281-556-5457
Mailing address:
  • Phone: 281-558-5558
  • Fax: 281-556-5457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberM1819
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: