Individual
DAVID WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST
Contact information
Practice address
4722 TAFT BLVD, SUITE 3, WICHITA FALLS, TX 76308-4800
(940) 692-5666
(940) 767-3578
Mailing address
4722 TAFT BLVD, SUITE 3, WICHITA FALLS, TX 76308-4800
(940) 692-5666
(940) 767-3578
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8M8426
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/20/2007
Last updated
09/20/2007
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