Individual
DR. TIMOTHY ALLAN GONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3410 WORTH ST STE 250, DALLAS, TX 75246-2073
(214) 820-6856
Mailing address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-2362
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R1373
TX
Other
Enumeration date
05/12/2010
Last updated
03/31/2022
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