Individual
KA C WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E CLIFF DR STE 3D, EL PASO, TX 79902-4847
(915) 857-4130
(915) 857-4135
Mailing address
3270 JOE BATTLE BLVD, SUITE 380, EL PASO, TX 79938-2622
(915) 592-8013
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G2887
TX
207RI0011X
Interventional Cardiology Physician
G2887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000V0906
—
NM
05
—
Z000U02Z0
—
TX
Enumeration date
06/27/2006
Last updated
05/16/2025
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