Individual
ALBERT J WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10401 ANDERSON MILL #110B, AUSTIN, TX 78750-2579
(512) 250-5571
(512) 406-7300
Mailing address
6210 E HIGHWAY 290, AUSTIN, TX 78723-1142
(512) 483-9596
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K3042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038404202
—
TX
05
—
038404203
—
TX
Enumeration date
07/31/2006
Last updated
05/21/2021
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