Individual provider Active NPI

Wenjing Fang, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
National Provider Identifier
1114903077
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
K7528 Issued in TX
Practice address
710 FM 1960 Rd W
Medical Mall 3
Houston, TX 77090-3420
Phone
(281) 440-2829
NPI assigned
Dec 21, 2005
Last updated
Nov 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X K7528 TX Primary

Addresses

Primary practice location

710 FM 1960 Rd W
Medical Mall 3
Houston, TX 77090-3420

Mailing address

714 FM 1960 Rd W
Ste. 206
Houston, TX 77090-3405
Phone (281) 880-6991

Other identifiers 1

IdentifierTypeStateIssuer
42640501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106001086 TX Practitioner - Pathology 9830388891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Pathology Program PLLCGroup PAC ID 3476956194, 38 clinicians

Practice addresses (Care Compare)

1313 Hermann Dr
Houston, TX 77004-7005
Phone (713) 527-5285

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Houston Pathology Associates, LLP Anatomic Pathology & Clinical Pathology CurrentSince May 14, 1999 Accepting new patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2021 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000

1900 North Loop W
Houston, TX 77018
Phone (281) 245-3724

710 FM 1960 Rd W
#3
Houston, TX 77090

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

300 Kingwood Medical Dr
Kingwood, TX 77339
Phone (281) 312-4000

350 Kingwood Medical Dr
Ste 110
Kingwood, TX 77339
Phone (281) 359-4442

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1114903077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 FM 1960 RD W",
            "address_2": "STE. 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903405",
            "telephone_number": "281-880-6991",
            "fax_number": "281-880-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 FM 1960 RD W",
            "address_2": "MEDICAL MALL 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903420",
            "telephone_number": "281-440-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "WENJING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "K7528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42640501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.