Individual
LIJUAN TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
343 W HOUSTON ST STE 306, SAN ANTONIO, TX 78205-2140
(210) 577-0673
(210) 247-9699
Mailing address
PO BOX 701543, SAN ANTONIO, TX 78270-1543
(210) 497-1528
(210) 247-9699
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9936
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167943302
—
TX
Enumeration date
06/27/2005
Last updated
04/01/2013
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