Individual
MICHAEL WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6431 FANNIN ST, SUITE MSB 5.196, HOUSTON, TX 77030-1501
(713) 500-6223
Mailing address
3315 WATT AVE, SACRAMENTO, CA 95821-3600
(916) 481-6800
(916) 481-1881
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A16509
CA
207L00000X
Anesthesiology Physician
S0124
TX
Other
Enumeration date
06/16/2015
Last updated
03/24/2022
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