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NPI Code Detail

MEDICARE: DR. SCOTT Y WU M.D.

MEDICARE:  DR. SCOTT Y WU  M.D.
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
1207RG0100XGastroenterology Physician036086196IL
2207RG0100XGastroenterology PhysicianW1717TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4776530OTHERILMEDICARE GROUP NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1026249OTHERILHEALTH ALLIANCE
2371221637OTHERILFEDERAL TAX IDENTIFICATIO
35134066OTHERILAETNA HEALTH PLANS
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
607215152OTHERILBLUE CROSS
7IL0109OTHERILJOHN DEERE
8295120OTHERILHEALTHLINK

General Provider Information

NPI Number : 1760426308
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT Y WU M.D.
Provider Business Mailing Address
First Line : 6431 FANNIN ST STE MSB 4234
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number : 713-500-6683
Fax Number : 713-500-6699
Provider Business Practice Location Address
First Line : 5656 KELLEY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77026-1967
Country : US
Telephone Number : 713-500-6683
Fax Number : 713-500-6699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 01/06/2026

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