Individual
CHRISTINA W WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(832) 325-7111
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
M4660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184090201
—
TX
01
—
184090202
CSHCN
TX
01
—
8W7640
BCBS
TX
Enumeration date
10/05/2006
Last updated
01/26/2009
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