Individual
CRYSTAL SI WAI WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(801) 808-9471
Mailing address
404 OXFORD ST APT 1303, HOUSTON, TX 77007-2675
(801) 808-9471
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
05/29/2023
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