Individual
MS. QIJUN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSA, SA-C
Contact information
Practice address
475 BENDWOOD DR, HOUSTON, TX 77024-8813
(281) 409-3854
(832) 201-7900
Mailing address
PO BOX 79576, HOUSTON, TX 77279-9576
(513) 312-2223
(832) 201-7900
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
11-114
TX
246ZC0007X
Surgical Assistant
SA00504
TX
Other
Enumeration date
03/18/2011
Last updated
08/15/2016
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