Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | J7400 | TX |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | J7400 | TX |
Y | 207RI0011X | Interventional Cardiology | J7400 | TX |
NPI | 1134237951 |
---|---|
Provider Name | Dr. Ping Fai Wong |
First Address | Humble, TX 77338-4404 |
Second Address | Humble, TX 77338-4404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 07/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
047666501 | (05) | TX |
G72466 | (02) | TX |