MEDICARE: SHENG-PEI WANG MD, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207NP0225X	Pediatric Dermatology Physician	FTL49045	TX

General Provider Information

NPI Number	:	1093532632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHENG-PEI WANG MD, MPH

Provider Business Mailing Address
First Line	:	9835 N LAKE CREEK PKWY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78717-6210
Country	:	US
Telephone Number	:	737-220-8200
Fax Number	:	737-220-8180

Provider Business Practice Location Address
First Line	:	9835 N LAKE CREEK PKWY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78717-6210
Country	:	US
Telephone Number	:	737-220-8200
Fax Number	:	737-220-8180

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2024
Last Update Date	:	05/29/2026

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