Wong, Brian R
Wong, Brian R is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-5302. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Wong, Brian R can be contacted via phone (409) 772-2222.Contact Information
Primary practice address
301 University Blvd
Galveston TX 77555-5302
Phone: (409) 772-2222
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | H9446 | Texas |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | H9446 | Texas |
Profile Details
NPI number | 1417017104 |
---|---|
LBN Legal business name | Wong, Brian R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 11th, 2006 |
Last updated | Dec 16th, 2008 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417017104 | NPPES |
Texas | MEDICAID | 129356503 |
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