Individual
COURTNEY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5939 HARRY HINES BLVD, DALLAS, TX 75235-6246
(214) 645-5505
Mailing address
6201 HARRY HINES BOULEVARD, DALLAS, TX 75390-0001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57511
TX
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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