Individual
DR. BO SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6560 FANNIN ST STE 1878, HOUSTON, TX 77030-2752
(713) 441-5189
(713) 441-5189
Mailing address
6560 FANNIN ST STE 1878, HOUSTON, TX 77030-2752
(713) 441-5189
(713) 441-5189
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2021022115
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
T7049
TX
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
T7049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427581446
NPI
TX
05
—
200045307
—
MO
Enumeration date
04/06/2017
Last updated
03/07/2023
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