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NPI Code Detail

MEDICARE: ANDREW WU

MEDICARE:   ANDREW  WU
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1386591220
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW WU
Provider Business Mailing Address
First Line : 1003 SONOMA CIR
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-7907
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8447 JOHN SHARP PKWY
Second Line :
City : BRYAN
State : TX
Zip : 77807-1552
Country : US
Telephone Number : 979-436-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ ANDREW WU ” Practice Location

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