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Individual

BRIAN R WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
H9446
TX
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
H9446
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
129356503
TX
Enumeration date
12/11/2006
Last updated
10/07/2025
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