Individual ProviderKenneth K WuInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address6410 Fannin St, 230, Houston, TX 77030-3000(713) 704-3961(713) 500-3500PECOS EnrollmentBased on the most recent information from CMS, provider Kenneth K Wu does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:26 AM.Profile DetailsProvider ID1790703908Provider TypeIndividualFull NameWu, Kenneth KCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/17/2006Last Updated7/16/2007Contact InformationPractice LocationPractice Address6410 Fannin St, 230, Houston, TX 77030-3000Phone(713) 704-3961FaxUnlisted FaxMailing LocationMailing AddressPO Box 201088, Houston, TX 77216-1088Phone(713) 500-3500Fax(713) 500-5484Provider TaxonomiesCodeDescriptionLicenseCode207RH0003XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseG7027TexasCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseG7027TexasProvider IdentifiersIDDescriptionIssuerID88Y823DescriptionOtherIssuerBCBSTexas