Individual
SOON CHAO S ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5050 QUORUM DR STE 700, DALLAS, TX 75254-1410
(972) 687-9045
(972) 236-1670
Mailing address
5050 QUORUM DR STE 700, ATTN: ANITA SKIPPER, DALLAS, TX 75254-1410
(972) 687-9045
(972) 236-1670
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
F7867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035172805
—
TX
Enumeration date
01/09/2007
Last updated
06/29/2012
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