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Organization

LIJUAN TONG MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LIJUAN TONG MD (PRESIDENT)
(210) 577-0673
Entity
Organization

Contact information

Practice address
343 W HOUSTON ST STE 306, SAN ANTONIO, TX 78205-2140
(210) 577-0673
(210) 247-9699
Mailing address
PO BOX 701543, SAN ANTONIO, TX 78270-1543
(210) 497-1528
(210) 247-9699

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9936
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173888201
TX
Enumeration date
11/07/2007
Last updated
04/01/2013
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