Individual
DR. DAVID C ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2555 JIMMY JOHNSON BLVD, PORT ARTHUR, TX 77640-2007
(409) 724-7389
(409) 853-5110
Mailing address
PO BOX 3084, LAKE CHARLES, LA 70602-3084
(337) 436-7560
(337) 433-9861
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K4975
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104989202
—
TX
Enumeration date
09/20/2006
Last updated
11/20/2008
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