Organization
CARMEN P WONG, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA M ALVAREZ (OFFICE MANAGER)
(281) 457-1212
Entity
Organization
Contact information
Practice address
15055 EAST FWY, B50, CHANNELVIEW, TX 77530-4144
(281) 457-1212
(281) 457-1223
Mailing address
15055 EAST FWY, B50, CHANNELVIEW, TX 77530-4144
(281) 457-1212
(281) 457-1223
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
J3003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356347512
NPI INDIVIDUAL
TX
Enumeration date
06/14/2011
Last updated
08/25/2011
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