Wong, Pui-Sum Susan

Wong, Pui-Sum Susan is an individual health care provider with primary practice located at 5002 Cowhorn Creek Rd , Texarkana TX 75503-9766. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wong, Pui-Sum Susan can be contacted via phone (903) 614-3000.

Contact Information

Primary practice address
5002 Cowhorn Creek Rd Texarkana TX 75503-9766
Phone: (903) 614-3000
Fax: (903) 614-3525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E3038 Arkansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L3192 Texas

Profile Details

NPI number 1912975111
LBN Legal business name Wong, Pui-Sum Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 20th, 2011 - about 13 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 1912975111 NPPES
Texas Other 8AN222 BCBS TEXAS
Texas MEDICAID 145610001 BCBS TEXAS
Texas MEDICAID 200124670A BCBS TEXAS
Texas MEDICAID 147257303 BCBS TEXAS
Texas Other P00473270 BCBS TEXAS

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