Organization
JONATHAN T WONG OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN T WONG OD (PRESIDENT)
(832) 237-1688
Entity
Organization
Contact information
Practice address
12420 FM 1960 RD W, HOUSTON, TX 77065-4809
(832) 237-1688
Mailing address
12420 FM 1960 RD W, HOUSTON, TX 77065-4809
(832) 237-1688
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5607TG
TX
Other
Enumeration date
06/01/2007
Last updated
02/10/2014
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