Pong, Dan

Pong, Dan is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-6431. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Pong, Dan can be contacted via phone (409) 772-7150.

Contact Information

Primary practice address
301 University Blvd Galveston TX 77555-6431
Phone: (409) 772-7150
Fax: (409) 747-2850
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X R4455 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R4455 Texas

Profile Details

NPI number 1548605983
LBN Legal business name Pong, Dan
Credentials MD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2013
Last updated Mar 10th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548605983 NPPES
Texas MEDICAID 398623403

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