Tai Keong Wong M.D.

NPI 1952494064 - Family Medicine - 207Q00000X

NPI Details
NPI 1952494064
Gender Male
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2203 W 35TH ST
AUSTIN TX, 78703-1203, US
Phone (512) 374-6950
Fax (512) 374-6080
Business Location
AUSTIN TX, 78729-6450, US
Phone (512) 335-3421
Fax (512) 335-3421
Taxonomy Code 207Q00000X
License State Texas
License Number G1805
Remove 1952494064 NPI Number

According to our database, Tai Keong Wong M.D. NPI is 1952494064, taxonomy code is 207Q00000X and license number is G1805, license state is located at Texas. Tai Keong Wong M.D. physically located at 2203 W 35th St, Austin TX, 78703-1203. NPI Number Tai Keong Wong M.D. has the Individual type.

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1952494064 NPI number is provided on an as is basis without warranty of any kind. 1952494064 is maintained by the National Plan & Provider Enumeration System. The contents of Tai Keong Wong M.D. are for informational purposes only.