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Individual

DR. JAMES KONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
955 MCKINNEY ST, HOUSTON, TX 77002-6308
(713) 652-2010
(713) 652-3922
Mailing address
9402 ROWAN LN, HOUSTON, TX 77036-5212
(713) 774-2035
(713) 652-3922

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4285T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82122E
BCBS PROVIDER NUMBER
TX
05
PO 80881E8
TX
05
PO 82122E3
TX
Enumeration date
12/14/2005
Last updated
05/26/2016
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