Active NPI
Anne Wang, PA
- Physician Assistant
- Houston, TX
National Provider Identifier
1487904843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA07910
- Practice address
- 6400 Fannin St
Suite 2500
Houston, TX 77030-1521 - Phone
- (713) 704-4300
- Fax
- (713) 704-4355
- NPI assigned
- Sep 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA07910 | TX | Primary |
Addresses
Primary practice location
6400 Fannin St
Suite 2500
Houston, TX 77030-1521
Mailing address
6400 Fannin St
Suite 2350
Houston, TX 77030-1521
Phone (713) 704-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA07910 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- annel.wang@direct.memorialhermann.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1487904843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 FANNIN ST",
"address_2": "SUITE 2350",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301521",
"telephone_number": "713-704-4300",
"fax_number": "713-704-4355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 FANNIN ST",
"address_2": "SUITE 2500",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301521",
"telephone_number": "713-704-4300",
"fax_number": "713-704-4355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "ANNE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-13",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA07910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.