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Individual
KIN S WONG
Active
Individual
KIN S WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
K9458
TX
207R00000X
Internal Medicine Physician
20A8177
CA
207R00000X
Internal Medicine Physician
Primary
K9458
TX
261QU0200X
Urgent Care Clinic/Center
K9458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063LS
BCBS
TX
05
—
149752104
—
TX
05
—
149752106
—
TX
05
—
149752111
—
TX
Enumeration date
05/02/2006
Last updated
02/06/2026
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