Individual
DR. SOE-NI NICHOLAS KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 MIDWESTERN PKWY E, WICHITA FALLS, TX 76302-2302
(940) 766-3551
(940) 766-8845
Mailing address
501 MIDWESTERN PKWY E, WICHITA FALLS, TX 76302-2302
(940) 766-3551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L0348
TX
207RC0000X
Cardiovascular Disease Physician
L0348
TX
207RI0011X
Interventional Cardiology Physician
Primary
L0348
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421745-01
—
TX
Enumeration date
01/09/2006
Last updated
04/29/2021
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