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General NPI Number Information
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NPI Number | 1831345065
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Entity Type | Individual
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Provider Name | HAO MING WU M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2008
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 601 GOLDER AVE SUITE A
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City | ODESSA
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State | TX
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Zip | 79761-4412
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Country | US
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Telephone | 432-640-2515
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Fax | 432-640-6520
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Provider Business Mailing Address
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Address Line | PO BOX 2129
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City | ODESSA
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State | TX
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Zip | 79760-2129
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Country | US
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Telephone | 432-640-2408
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Fax | 432-640-4606
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 238115
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | P8751
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License Number State | TX
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