Individual
DR. BENNY WONG LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1702 KELL BLVD, WICHITA FALLS, TX 76301-5627
(940) 766-1292
(940) 723-1650
Mailing address
1702 KELL BLVD, WICHITA FALLS, TX 76301-5627
(940) 766-1292
(940) 723-1650
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018702302
—
TX
Enumeration date
09/14/2007
Last updated
04/29/2011
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