Maria Teresa Wong-Domenech, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H9030 Issued in TX

Practice address

2925 W T C Jester Blvd Ste 4
Houston, TX 77018-7050

Phone

(281) 448-5437

Fax

(281) 448-2988

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kids 'N Teens Clinics, P.a.

  • Pediatrics Physician
  • Houston, TX
  • NPI 1316073240
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1790743995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7502 OAK FERN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406888",
            "telephone_number": "281-448-5437",
            "fax_number": "281-448-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 W T C JESTER BLVD STE 4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770187050",
            "telephone_number": "281-448-5437",
            "fax_number": "281-448-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG-DOMENECH",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H9030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130879307",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wonderful Blessed Care Helath Services
• Wonderful Blessed Care Inc
• Wonderfully Made Speech and Language, LLC
• Wonderfully Made You Counseling, P.C.
• Leanne Wonesh, ATC LAT
• Jia Hui Wong-Duffield
• Eirene M. Wong-Liang, PH.D.
• Adrian Wong, MD
• Adriana Gonzalez Wong, DNP
• Amy Elise Wong, LMFT, LCDC

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.