Individual
WENDY LYNN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M0315
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171824901
—
TX
05
—
171824902
—
TX
05
—
171824903
—
TX
05
—
171824904
—
TX
Enumeration date
05/19/2006
Last updated
02/17/2012
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