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Individual

DR. ALVIN PUI SHUI WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 715-5000
(972) 715-9976

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K3537
TX
207L00000X
Anesthesiology Physician
MD61492391
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125512706
TX
05
125512707
TX
05
125512708
TX
05
125512709
TX
05
125512710
TX
05
2267988
WA
01
8EY202
BCBS
TX
01
P01499369
RR
TX
Enumeration date
01/17/2006
Last updated
08/15/2024
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