Doctor Name: | MR. WENHUA MA |
NPI Number: | 1588656649 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | 653791 |
Business Practice Address: | 101 N Parkway Dr Alvarado, TX - 760093724 |
Business Phone Number: | 8177903304 |
Business Fax Number: | |
Mailing Address: | 1800 Chester Dr, PLANO |
State: | TX |
Postal Code: | 750252661 |
Phone Number: | 2149918816 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2005 |
NPI Last Update Date: | 01/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 653791 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |