Basic Information
| Provider Information | |||||||||
| NPI: | 1275989394 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAN | ||||||||
| FirstName: | WEI | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18934 FM 1488 RD | ||||||||
| Address2: | |||||||||
| City: | MAGNOLIA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773555232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2813561945 | ||||||||
| FaxNumber: | 2102717208 | ||||||||
| Practice Location | |||||||||
| Address1: | 18934 FM 1488 RD | ||||||||
| Address2: | |||||||||
| City: | MAGNOLIA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773555232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2813561945 | ||||||||
| FaxNumber: | 2102717208 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2016 | ||||||||
| LastUpdateDate: | 06/14/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | BP10057105 | TX | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | S1116 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.