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Individual

DAYTON WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2504 XENIA ST, PLAINVIEW, TX 79072-1818
(806) 296-7881
(806) 291-5185
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10052706
TX
208600000X
Surgery Physician
Primary
S5523
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8MV154
BCBS
TX
Enumeration date
05/11/2015
Last updated
08/03/2020
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