Individual
GEORGE FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 RIVER POINTE DR, 200, CONROE, TX 77304-2814
(936) 494-4179
Mailing address
200 RIVER POINTE DR, 200, CONROE, TX 77304-2814
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03874
TX
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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