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Individual
PO MING FUNG
Active
Individual
PO MING FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H4336
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045233602
WELLMED MEDICAID
TX
01
—
8C7594
WELLMED MEDICARE
TX
Enumeration date
07/07/2005
Last updated
10/17/2016
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