Jinsong Wu, D.O

Primary specialty

ContractorTaxonomy code 171W00000X

License

U2674 Issued in TX

Practice address

14269 Ed Fink CT
El Paso, TX 79938-3211

Phone

(210) 505-0531

NPI assigned

Jun 12, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1902033376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14269 ED FINK CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799383211",
            "telephone_number": "210-505-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14269 ED FINK CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799383211",
            "telephone_number": "210-505-0531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Main St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761025489",
            "country_code": "US",
            "telephone_number": "800-465-3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "JINSONG",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "780",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "TX",
            "license": "U2674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Wright, M.S., CCC/A
• Yvette Wright, RN
• Zachary Wright, ATC
• Jennifer S Wu, DDS
• Jie Wu, MD
• Adriana Wurtz
• Evan Wurtz, DPT
• Jamie Christeel Wymer, PMHNP-BC
• Bryan Wynn, LAT, ATC
• Xavier J Munoz DO PA

• Contractor in El Paso, TX
• Providers in El Paso, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.