Individual
TIEN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H3961
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
H3961
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10019568
AMERIGROUP
TX
05
—
101319501
—
TX
05
—
101319502
—
TX
05
—
1534421
—
LA
01
—
19422
OPTICARE
TX
01
—
26010
SELECTCARE OF TEXAS
TX
01
—
4310136
AETNA
TX
01
—
80G068
BLUE SHIELD
TX
01
—
E89756
STERLING OPTION ONE
TX
01
—
H3961
UNICARE
TX
Enumeration date
09/20/2006
Last updated
03/29/2017
Update your record
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