Healthcare Provider Details

I. General information

NPI: 1306441258
Provider Name (Legal Business Name): CUI WANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2020
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5603 CLAYMORE MEADOW LN
SPRING TX
77389-1714
US

IV. Provider business mailing address

6700 WOODLANDS PKWY STE 500
SPRING TX
77382-2581
US

V. Phone/Fax

Practice location:
  • Phone: 281-678-7291
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number55645
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: