Individual
DR. MARIA TERESA WONG-DOMENECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2925 W T C JESTER BLVD STE 4, HOUSTON, TX 77018-7050
(281) 448-5437
(281) 448-2988
Mailing address
7502 OAK FERN, HOUSTON, TX 77040-6888
(281) 448-5437
(281) 448-2988
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H9030
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130879307
—
TX
Enumeration date
05/04/2006
Last updated
08/25/2021
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