Individual
ANGELIQUE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6431 FANNIN STREET, HOUSTON, TX 77030-1501
(713) 500-6713
Mailing address
6431 FANNIN STREET, HOUSTON, TX 77030-1501
(713) 500-6713
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
Q0206
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341474001
—
TX
Enumeration date
06/12/2010
Last updated
08/02/2024
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