Individual
TIMOTHY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1635 NORTH LOOP W, HOUSTON, TX 77008-1532
(713) 426-1669
(713) 868-9416
Mailing address
PO BOX 926098, HOUSTON, TX 77292-6098
(713) 426-1669
(713) 868-9416
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
H2912
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128104001
—
TX
Enumeration date
07/26/2006
Last updated
07/09/2007
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