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Individual

DR. CARMEN P WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1140 WESTMONT DR, STE 520, HOUSTON, TX 77015-4363
(281) 457-1212
(281) 457-1223
Mailing address
1140 WESTMONT DR, STE 520, HOUSTON, TX 77015-4363
(281) 457-1212
(281) 457-1223

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J3003
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0099HP
BCBS OF TEXAS
TX
01
1477848877
GROUP NPI FOR TAX ID
TX
01
2487111
CIGNA PROVIDER NUMBER
TX
01
2667722
AETNA PROVIDER ID
TX
01
755597
HUMANA PROVIDER NUMBER
TX
Enumeration date
06/22/2005
Last updated
11/05/2015
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