MEDICARE: MS. QI LIN WU APRN

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	363LF0000X	Family Nurse Practitioner	AP134995	TX

General Provider Information

NPI Number	:	1194243279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. QI LIN WU APRN

Provider Business Mailing Address
First Line	:	13710 SPRING POINT VW
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-6542
Country	:	US
Telephone Number	:	832-633-3609
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 GREENWAY PLZ STE 2950
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77046-0924
Country	:	US
Telephone Number	:	866-607-7334
Fax Number	:

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

Provider Enumeration Date	:	09/08/2017
Last Update Date	:	03/17/2018

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