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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548605983 | NPPES |
| Texas | MEDICAID | 398623403 |
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