Individual
CHRISTOPHER M WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
609 MATLOCK CENTRE CIR, ARLINGTON, TX 76015-2535
(817) 676-9046
(817) 265-3884
Mailing address
PO BOX 152193, ARLINGTON, TX 76015-8193
(817) 676-9046
(817) 265-3884
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K3879
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151453102
—
TX
01
—
8K9321
BLUE CROSS BLUE SHIELD
TX
01
—
P00140405
RAILROAD MEDICARE
TX
Enumeration date
07/31/2006
Last updated
09/14/2020
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