Provider Demographics
NPI:1043327943
Name:HAH, WILBUR W (MD)
Entity type:Individual
Prefix:DR
First Name:WILBUR
Middle Name:W
Last Name:HAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:610 STRICKLAND DR
Mailing Address - Street 2:#270
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77630-4786
Mailing Address - Country:US
Mailing Address - Phone:409-883-3580
Mailing Address - Fax:877-991-9248
Practice Address - Street 1:610 STRICKLAND DR
Practice Address - Street 2:#290
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-4786
Practice Address - Country:US
Practice Address - Phone:409-883-3580
Practice Address - Fax:877-991-9248
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ0832207Y00000X, 207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8BB410OtherBCBS OF TX
TX84943FOtherBCBS OF TX
TXP089X2042Medicaid
TX1185274-04OtherMEDICAID TPI
TX118527401Medicaid
TX89X204Medicare PIN
TX1185274-04OtherMEDICAID TPI
TX84943FOtherBCBS OF TX