Carmen P Wong, MD, PA
Organization Active NPI Primary Care Clinic/Center · Channelview, TX
NPI 1477848877 · NPPES record last updated Aug 25, 2011
Key facts
- NPI
- 1477848877
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- J3003 (TX)
- Legal business name
- CARMEN P WONG, MD, PA
- Practice address
- 15055 East Fwy
B50
Channelview, TX 77530-4144 - Phone
- (281) 457-1212
- Fax
- (281) 457-1223
- NPI assigned
- Jun 14, 2011
- Organization subpart
- No
Authorized official
- Name
- Ms. Monica M Alvarez
- Title
- Office Manager
- Phone
- (281) 457-1212
Practitioners 1
-
Carmen P Wong, MD
National Provider Directory
Locations
15055 East Fwy
Ste B50
Channelview, TX 77530
Phone (281) 457-1212
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DFCJAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | J3003 | TX | Yes |
Addresses
Primary practice location
15055 East Fwy
B50
Channelview, TX 77530-4144
Mailing address
15055 East Fwy
B50
Channelview, TX 77530-4144
Phone (281) 457-1212
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356347512 | Other | TX | NPI INDIVIDUAL |
Other providers in Channelview, TX
- Liz Rachell Blanco Reyes
- Burman and Burman PA
- Gary Robert Burman
- Canopy Health
- Tamara Carlisle
- Channelview EMS
- Channelview Health Services, Inc
- Channelview Isd
- Channelview Volunteer Fire D
- Embra Clark
All providers in Channelview, TX · Primary Care Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.